Pre-Authorized Payment Plan Application Form - Water and Sewer Account

Instructions:
  1. Please complete all sections in order to authorize the Township of North Stormont to take payments directly from your account.
  2. Please agree to the Terms and Conditions at the bottom of this form.
  3. Please send a void cheque to the Township Office by mail / drop off to 15 Union Street, PO Box 99, Berwick OK K0C 1G0 or fax to 613-984-2908. 

  • Option 1: Withdrawal on the due date. Only accounts with no arrears may enroll.
     
  • Option 2: 12 monthly installments, withdrawn on the first business day of each month. Interest at the rate of 1.25% per month is applicable with this option.
Options

Property address
In order to complete your application please send a void cheque to the Township Office by mail / drop off to 15 Union Street, PO Box 99, Berwick ON K0C 1G0 or fax to 613-984-2908. 
 
If you require assistance, please contact the Township office at 613-984-2821 ext.221