Tax Instalment Payment Plan Service Pre-Authorized Debit Form

Roll Number (on Property Tax Notice)

Property Address:

Name: Phone: Bank Account Holder (Last Name, First Name) Home Work Cell

Name: Phone: Home Work Cell

Joint Bank Account Holder (Last Name, First Name) TIPPS Start Date:

Email Address: yy/mm

Branch Transit Number Financial Institution

Financial Institution Name:

Branch Address: This plan is for: Personal Use Business Use

I/we authorize the City of Saskatoon and the financial institution designated (or any other financial institution I/we may authorize at any time) to debit the bank account identified above on the first business day of each month for the current monthly amount of my TIPPS plan. The actual withdrawal date at my financial institution may vary slightly but I will ensure that my account has sufficient funds on deposit to cover the TIPPS withdrawal.

The TIPPS monthly amount will vary during the taxation year (January to December). The TIPPS monthly amount is adjusted each January based on the tax levy of the previous year. This amount will be adjusted again in July after City Council passes the mill rate bylaw and the current year’s taxes are levied. The City of Saskatoon will provide written notification of the changes to the withdrawal amounts noted above at least ten (10) days before the withdrawal dates. As TIPPS payments are rounded up to the highest dollar throughout the year, the December withdrawal will be for the exact amount of outstanding property tax. I/We waive our right to receive notification from the City of Saskatoon ten (10) days before the change to December withdrawal.

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 Pre-Authorized Debit (PAD) that is not authorized or is not consistent with this PAD agreement. To obtain more information on your recourse rights, contact your financial institution or visit www.cdnpay.ca.

This authority is to remain in effect until the City of Saskatoon has received written notification from me/us of its change or termination; this notification must be received at least ten (10) business days before the next debit is scheduled. I/We may obtain a sample cancellation form, or more information on my/our right to cancel a PAD Agreement, at my/our financial institution or by visiting www.cdnpay.ca. City of Saskatoon TIPPS cancellation and change of bank forms are available online at www.saskatoon.ca or through the contact information below.

Signature of Bank Account Holder Signature of Joint Bank Account Holder

Name: Name: (please print) (please print)

Date: Date:

Mailing Address: Postal Code

Please submit completed application by mail, fax, or email; include a sample cheque marked “Void” and payment if applicable.

Telephone: (306) 975-2400 or 1-800-667-9944 Monday to Friday , 8:30 am to 5:00 pm Email: revenue@saskatoon.ca Mail: City of Saskatoon, PO Box 1788, Saskatoon, SK S7K 8E1 Fax: (306) 975-7975

11/07/04

Fax confirmation to: (fax number)

For Office Use Only Payment Required: (if applicable) Date Entered:

yy/mm/dd

Received by:

TIPPS Monthly Amount:

Entered By: Applicant Copy Issued

Fax Mail Email

Deposit Account Number Savings Chequing Account

TIPPS

New Application

Change of Information

* Please Check One:

Wha

t is

TIPP

S?TI

PPS

allo

ws

prop

erty

ow

ners

to p

ay th

eir

Prop

erty

Tax

bill

in 1

2 m

onth

ly in

stal

men

tsba

sed

on th

e ca

lend

ar y

ear

(Jan

uary

toD

ecem

ber)

, mak

ing

budg

etin

g ea

sier

with

no a

dded

fees

or p

enal

ties.

Pro

perty

taxe

sfo

r pro

perti

es n

ot o

n TI

PPS

are

due

and

paya

ble

June

30.

You

can

appl

y fo

r TIP

PS:

If yo

ur ta

x ac

coun

t is

paid

to th

e da

te o

fyo

ur T

IPP

S ap

plic

atio

n.

If yo

u ha

ve b

anki

ng p

rivile

ges

at y

our

finan

cial

inst

itutio

n (b

ank,

trus

t com

pany

or c

redi

t uni

on) f

or a

utom

atic

with

draw

alfro

m a

dep

osit

acco

unt.

Cre

dit c

ards

and

line

of c

redi

t acc

ount

s ca

nnot

be

used

for

TIPP

S.If

you

are

not p

ayin

g pr

oper

ty ta

x th

roug

ha

mor

tgag

e co

mpa

ny p

aym

ent (

PIT)

.

How

doe

s TI

PPS

wor

k?TI

PPS

paym

ents

are

mad

e by

aut

omat

icw

ithdr

awal

from

a b

ank

acco

unt o

n th

e fir

stba

nkin

g da

y of

eac

h m

onth

; the

act

ual w

ithdr

awal

date

may

var

y sl

ight

ly a

t eac

h fin

anci

al in

stitu

tion.

From

Jan

uary

to J

une,

the

mon

thly

TIP

PSam

ount

is b

ased

on

the

prev

ious

yea

r’s a

nnua

lta

x le

vy. A

fter t

he m

ill ra

te b

ylaw

is p

asse

d by

City

Cou

ncil

in th

e sp

ring,

TIP

PS c

usto

mer

s ar

eno

tifie

d on

thei

r Pro

perty

Tax

Not

ice

of th

e ne

wTI

PPS

amou

nt. T

o co

mpe

nsat

e fo

r rou

ndin

g up

thro

ugho

ut th

e ye

ar, t

he T

IPPS

with

draw

al in

Dec

embe

r is

for t

he e

xact

am

ount

of t

axes

stil

lou

tsta

ndin

g.

Are

ther

e fe

es to

use

TIP

PS?

The

City

of S

aska

toon

doe

s no

t cha

rge

inte

rest

or

serv

ice

fees

for T

IPPS

but

nor

mal

ban

k se

rvic

ech

arge

s m

ay a

pply

. NSF

fees

will

be c

harg

ed o

nre

turn

ed p

aym

ents

.

Wha

t hap

pens

if m

y pr

oper

tyas

sess

men

t cha

nges

?Su

pple

men

tary

Tax

bills

(due

Dec

embe

r 31)

are

issu

ed fo

r new

ass

essm

ents

dur

ing

the

curr

ent t

ax y

ear.

Con

tact

us

if yo

u w

ish

to u

seTI

PPS

to p

ay a

Sup

plem

enta

ry T

ax b

ill as

itw

ill no

t be

auto

mat

ical

ly in

clud

ed in

TIP

PS.

Impo

rtan

t pay

men

t inf

orm

atio

nIf

any

TIP

PS p

aym

ents

are

retu

rned

by

your

finan

cial

inst

itutio

n, th

e C

ity o

f Sas

kato

on h

asth

e op

tion

to c

ance

l TIP

PS w

ithou

t not

ice

and

may

requ

est i

mm

edia

te p

aym

ent o

f the

tota

lou

tsta

ndin

g ta

xes.

TIPP

S p

aym

ents

are

nei

ther

refu

ndab

le n

ortra

nsfe

rabl

e if

you

sell

or p

urch

ase

a ne

wpr

oper

ty in

Sas

kato

on.

If TI

PPS

is c

ance

lled

for a

ny re

ason

, all

unpa

id ta

xes

are

due

and

paya

ble

June

30

and

are

subj

ect t

o pe

nalti

esaf

ter t

his

date

.

Plea

se p

rovi

de tw

o w

eeks

not

ice

if yo

upu

rcha

se o

r sel

l a p

rope

rty,

or w

ish

toch

ange

ban

k in

form

atio

n. C

ance

llatio

nan

d C

hang

e of

Ban

k In

form

atio

n fo

rms

are

avai

labl

e on

line

at w

ww

.sas

kato

on.c

a.

How

do

I app

ly fo

r TIP

PS?

Com

plet

e th

e ap

plic

atio

n fo

rm a

nd r

etur

nit

with

a s

ampl

e ch

eque

mar

ked “v

oid”

by

mai

l, fa

x, o

r em

ail.

TIPP

S ap

plic

atio

ns a

reac

cept

ed th

roug

hout

the

year

.

Appl

icat

ions

for t

he c

urre

nt ta

x ye

ar m

ust

be a

ccom

pani

ed b

y th

e TI

PPS

pay

men

tsfro

m J

anua

ry to

the

curr

ent m

onth

. Con

tact

Cus

tom

er S

ervi

ce fo

r pay

men

t inf

orm

atio

n.

The

curr

ent y

ear’s

taxe

s m

ust b

e pa

id in

full

ifyo

ur a

pplic

atio

n is

for t

he n

ext c

alen

dar y

ear.

If yo

u pa

y Pr

inci

pal,

Inte

rest

, and

Tax

es(P

IT) t

o a

mor

tgag

e co

mpa

ny, y

ou m

ust

end

this

arr

ange

men

t bef

ore

join

ing

TIPP

S.

TIP

PS

Tax

Inst

alm

ent

Paym

ent P

lan

Serv

ice

TIPP

Sw

ww

.sas

kato

on.c

a