2. 

3. Tax Installment Payment Plan (TIPP) Authorization

5. APPLICANT INFORMATION

7. The Town of Diamond Valley offers a simple, easy method of payment of property taxes through our Tax Installment Payment Plan (TIPP).  Authorize the Town of Diamond Valley to draw and issue payment for Property Taxes which will automatically be withdrawn on the 4th day of each month or the next available business day.

9. Request Type*

   1. New TIPP Authorization, new owner
   2. New TIPP Authorization, existing owner
   3. Recalculation to re-enroll in TIPP
12. Requested Start Date*
    Requested Start Date

    Enrolment requests must be received no later than the 24th day of the month in order to be processed for inclusion in the next month's payments. Payments are withdrawn on the 4th day of each month, or the next available business day.

13. Tax Roll Number
15. First Name*
16. Last Name*
18. Joint Owners
    List additional owners here, separated by commas if adding more than one.
20. Residential (Physical / Civic) Address*
22. Mailing Address*

    If unknown, please leave blank.

24. City/Town*
25. Province*
26. Postal Code*
28. Phone Number*
29. Email Address*
31. Are you interested in receiving your tax and utility account correspondence (bills etc.) via email through our eServices program?*

    1. Yes
    2. No

    Sign up for eServices today

33. BANK ACCOUNT INFORMATION

    Please verify that your information is correct before submitting it.

35. Name(s) on the Bank Account*

    Include ALL names registered on the bank account

37. Financial Institution Name*
38. Financial Institution Address
40. Institution / Bank #*

    3 Digits

41. Branch/Transit #*

    5 Digits

42. Account #*

    Up to 12 Digits

44. Not sure how to find your bank account information on your cheque or online deposit form? Please view the image on the right.
45. 
47. Photo or Scan of Void Cheque

    Please attach a photo or scan of the VOID cheque or bank-issued pre-authorization document.

49. TIPP PROGRAM: TERMS AND CONDITIONS
51. Tax Installment Payment Plan (TIPP): Terms & Conditions

    1. You authorize the Town and its financial institution(s) to continually debit the stated bank account on the 4th day of each month to make payments on your property tax account. 

    2. You acknowledge that when current year taxes are unknown, the debited instalments will be estimated on the prior year's taxes until current year tax information is available for recalculation. 

    3. Your tax account must be at a NIL balance at year end for you to automatically participate in the TIPP program in the following year. Any credit balance on the tax account remaining at the end of the calendar year will be applied to the following year's payments. 

    4. This plan will remain in effect until cancelled. You are responsible to advise the Town, in writing (email acceptable), at least 15 days in advance, of any changes required to the next automatic payment (e.g. payor information, bank account changes, cancellation of the plan, etc.). If there is a change in ownership of the property, you are responsible to notify the Town in writing to cancel the program.

    5. Any payments that are dishonoured by your bank will incur a $25 NSF fee, which must be paid prior to resuming your participation in the program. 

    6. The Town has the right to cancel your participation in the program, per the TIPP Bylaw, if your account is no longer in good standing. 

    7. Monthly payment instalments will be recalculated periodically. You will be notified of calculations that result in changed payments. 

    8. Any correspondence sent by the Town will be directed to the registered owner(s) of the property only. 

    9. By submitting this application to the Town, you are agreeing to be bound by the TIPP Bylaw and the Terms & Conditions of this agreement. 

    10. You have certain recourse rights if any debit does not comply with this agreement. For example, you have the right to receive reimbursement for any debit that is not authorized or is not consistent with this agreement. To obtain more information on your recourse rights, contact your financial institution or visit http://www.cdnpay.ca

53. APPLICANT'S DECLARATION
55. Acknowledgement & Agreement*

    I acknowledge that, by typing my name above, I agree to be bound by the Terms & Conditions of the plan as if I had endorsed this document with my own handwritten signature.  I further agree that all of the information on this application is true, accurate and complete to the best of my knowledge.

57. Acknowledgement of additional account holders

    For joint accounts where more than one signature is required on cheques, all required signatures must be provided. I acknowledge by typing the name above that any additional bank account holders have agreed to the Terms and Conditions of the TIPP authorization above, and that such entry is endorsed as if with their handwritten signature.

59. Protection of Privacy Act

    The personal information collected through the Tax Installment Payment Plan (TIPP) Authorization form is for the implementation of the Town of Diamond Valley's TIPP program and tax services. This collection is authorized under section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, contact the Privacy Office LegislativeServices@DiamondValley.town or 403-933-4348

Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field