By signing this document, I hereby authorize the Town of Smith Falls to debit my account for payment of municipal water/wastewater services. All future bills will be paid through pre-authorized debit unless cancelled in in writing at least thirty (30) days prior to a due date. (Note: You will be advised of your due date on your bi-monthly bill).
Any payment returned by the bank will be subject to an NSF of $40 which will automatically be added to the account. Repayment of the unpaid amount (including the NSF fee) shall be made in cash or cheque at the town hall or by internet, or by telephone banking through your financial institution. Failure to make repayment or if payment come back to NSF two (2) times will result in removal from the plan.
You have certain recourse rights if any debit does not comply with the agreement. For example, you have the right to receive reimbursmenet for any debt that is not authoried or not consistent with the Pre-Authorized Debit. To obtain more information on your recourse rights, contact your financial institution or visit www.cdnpay.ca
For Official Use Only
Town of Smiths Falls
Water Department
77 Beckwith St. N. Smiths Falls
Ontario K7A 2B8
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