Required fields are marked with asterisks (*)

Cancellation of Pre-Authorized Payments

Please fill out the form below to cancel your enrolment in the Pre-Authorized Payment program. Taxation Services must receive requests to cancel at least 15 days before the next withdrawal to allow time for processing.

If you have questions about cancelling your pre-authorized payments, please email tax@clarington.net or call 905-623-3379 ext. 2650.

Roll Number

Name of assessed owner as shown on property tax bill

Property address

Email address

Phone number

Reason for cancelling

Lawyer (if applicable)

Lawyer's phone number

Date (mm/dd/yyyy)

Consent Statement

I confirm that I am the registered owner of the above property.

Signature of Applicant

Clear

The personal information recorded on this form is collected and maintained in accordance with the Municipal Freedom of Information and Protection of Privacy Act and will be used for the sole purpose of processing your request.

Questions about the collection of this data can be directed to:

Municipality of Clarington
Legislative Services Department
clerks@clarington.net
905-623-3379

Form Builder

Cancellation of Pre-Authorized Payments