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Cancellation Notice for Pre-authorized Debit Plan - Utilities Payments

Subject to the terms of any agreement between a Payor and Loyalist Township including their Payor’s Pre-authorized Debit Agreement, a Cancellation Notice must be provided to Loyalist Township Finance Department at least ten (10) business days prior to the next scheduled debit.

Utilities accountholder name(s)

Utilities account number

Effective date of cancellation