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Pre-authorized Payment Plan Application

Complete this form if you would like to apply for a pre-authorized payment plan for your property tax or utility payments. You can cancel this payment plan by providing written notice to the Township of Severn.

Name

Civic address

Phone number

Privacy statement

Information contained on this form is collected under the authority of the Municipal Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.

Please indicate that you've read and understand the above privacy statement.

Yes

Which bill would you like to set up a pre-authorized payment plan for?

Property tax bill

Water and sewer bill

Both (property tax and water/sewer)

Forms

Pre-authorized Payment Plan Application

Privacy statement