Pivotal PM - PAD Request Form

PRE-AUTHORIZED DEBIT AGREEMENT
Personal Information
Name*

First NameLast Name
Email*
Phone Number*
Format: (000) 000-0000.
Relation to Unit*
Condo Information
Condo Corporation Name*
Owner Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Are the owner's address and the unit address the same?
Unit Address*

Street Address

Unit #

CityProvince

Postal Code
Bank Account Information
Account #*
Branch Transit #*
Institution #*
Financial Institution Name
Branch Address
Please upload a photo or copy of a void cheque or Direct Debit Form. (Required for all PAD Requests) *

Cancelof
Condo Fee Payment Information
Pivotal Property Management has been contracted by The Corporation to facilitate this PAD on their behalf. You, the Payor, authorize The Corporation to debit the bank account identified above for amount of $ condo fee amount on the 1st of every month or the next business day in payment of monthly condominium fees for civic (mailing address) unit # (Enter Unit #)*. You, the Payor, confirm that you have authority under the terms of your account agreement to authorize this debit. The Corporation will provide written notice to the owner of any change in the amount to be debited at least ten (10) calendar days prior to the next payment due date. You, the Payor, will notify The Corporation in writing of any changes in the bank account information ten (10) calendar days prior to the next payment due date. Furthermore, you, the Payor, waive all notification requirements for The Corporation for variable amount pre-authorized debits (PADs).

*Please note that PAD is not required and that payments can also be made by cheque, bank, draft, or money order.
Personal UseBusiness Use
I, the Payor, may revoke my authorization at any time, subject to providing notice of 30 days. To obtain a sample cancellation form or for more information on my right to cancel a PAD agreement, I may contact my financial institution or visit payments.ca.
Signature of Account Holder*

Clear
Signature of Joint Account Holder (if applicable)

Clear
Name of Account Holder*
Name of Joint Account Holder (if applicable)
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 the PAD Agreement. To obtain more information on your recourse rights, contact your financial institution or visit payments.ca.

Please note that any requests submitted less than ten (10) days before the end of the month may not be processed until the first of the following month.

The Corporation reserves the right to cancel this Agreement if an Estoppel for the sale of the property is issued to an attorney or the debit of funds is unsuccessful due to a returned item (i.e. non-sufficient funds, closed account, etc.). An administration fee of $60 will be charged on any and all returned debits.
Should be Empty:

PRE-AUTHORIZED DEBIT AGREEMENT

Personal Information

Condo Information

Bank Account Information

Condo Fee Payment Information