Pre-Authorized Debit Form – For Strata Fees Pre-Authorized Debit Form For Strata Fees Building Name Strata Plan Strata Lot Address of Strata Lot Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Name First Last PhoneName First Last PhoneType of Service Personal Business Select onePRE-AUTHORIZED DEBIT (PAD) AGREEMENT(Required) I consent1. I/We hereby authorize Hutton Condominium Services Ltd. on behalf of our Strata Corporation and/or Section of our Strata Plan to debit my/our account monthly, covering monthly strata fees due by the undersigned to the Strata Corporation and/or Section of our Strata Plan. This amount may be increased/decreased as required by the change in monthly strata fees as approved by the Strata Corporation and/or Section of our Strata Plan or as a result of a reduction or increase in applicable municipal, provincial or federal tax. All pre-authorized payments will be made on the first of the month. 2. In accordance with (1.) above, I/We do hereby waive my/our right to receive pre-notification of the amount of the PAD and agree that I/we do not require advance notice of the amount of the PAD before the debit is processed. *3. I/We hereby authorize Hutton Condominium Services Ltd. on behalf of our Strata Corporation and/or Section of our Strata Plan, to debit my/our account monthly for additional charges for: Parking, Locker, or Other as selected below this agreement. 4. I/We understand that personal information provided is for purposes of identifying and communicating with me/us, processing payments, responding to emergencies, ensuring the orderly management of the Strata Corporation and/or Section of our Strata Plan and complying with legal requirements. I/We hereby authorize the Strata Corporation and/or Section of our Strata Plan to collect, use and disclose my/our personal information for these purposes. 5. The account that Hutton Condominium Services Ltd. is authorized to draw upon is indicated below. 6. I/We undertake to inform Hutton Condominium Services Ltd. of any change in the account or address information provided in this authorization as soon as the change occurs. 7. This authorization may be cancelled at any time upon 15 days written notice to Hutton Condominium Services Ltd. 8. I/We acknowledge that delivery of this authorization to Hutton Condominium Services Ltd. constitutes delivery by me/us to the above financial institution. 9. I/We acknowledge that I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD Agreement. 10. I/We warrant that all persons whose signatures are required to sign on the account have signed this agreement below.*3. I/We hereby authorize Hutton Condominium Services Ltd. on behalf of our Strata Corporation and/or Section of our Strata Plan, to debit my/our account monthly for additional charges for: Parking, Locker, or Other as selected below this agreement. Parking Locker Other Please specify below if you selected otherOther A personalized specimen cheque marked “VOID” is attached to this authorization. ATTACH VOID CHEQUE BELOW**If your account does not provide cheques, please attach a Direct Deposit Form from your bank.**Void Cheque or Direct Deposit Form(Required) Drop files here or Select files Max. file size: 128 MB. Date(Required) MM slash DD slash YYYY Name(Required) First Last Signature(Required) Reset signature Signature locked. Reset to sign again Date (if applicable) MM slash DD slash YYYY Name (if applicable) First Last Signature (if applicable) Reset signature Signature locked. Reset to sign again PLEASE NOTE THIS FORM MUST BE RECEIVED IN OUR OFFICE NO LATER THAN THE 20TH OF THE MONTH PRIOR TO THE MONTH THE PAD IS TO COMMENCE. SINCE THE PAD PROGRAM IS NOT RETROACTIVE, PLEASE ALSO ENCLOSE A CHEQUE FOR ANY BALANCE OWING PRIOR TO PAD COMMENCEMENT.CAPTCHA
