Pre-Authorized Payment Form (PAD)

Should you have a Direct Deposit form from your bank, or a picture of a blank check you can upload this here.

PRE-AUTHORIZED DEBIT (PAD) PAYMENTS AUTHORIZATION & TERMS & CONDITIONS (the fine print):

·         I hereby authorize Sapphire Condominium Management Inc. to initiate automatic debit withdrawals from my account at the financial institution listed above, on a recurring basis, in accordance with the terms and conditions agreed upon, for the payment of Common Fees, variable fees/charges as outlined in the Schedule A in compliance with the signed Contract including amendments with Sapphire Condominium Management Inc., on behalf of the Condominium Corporation associated with the Condominium Unit address noted above (the Payee).

·         I understand and agree that this authorization will remain in effect until I provide notification to cancel or modify this authorization not later than the 20th day of the month prior to the next due date of the PAD.

·         I acknowledge that the origination of transactions to my account must comply with the provisions of Canadian law.

 ·         I agree to notify Sapphire Condominium Management Inc. (Sapphire Condominium Management Inc., 907 Garibaldi Ave London ON, N5X 4J8, 519-900-8058); Email: accounting@sapphirecondomgmt.ca) in writing of any changes to my account information or termination of this authorization not later than the 20th day of the month prior to the next due date of the PAD.

·         I acknowledge that provision and delivery of this authorization to Sapphire Condominium Management Inc. constitutes delivery by me (us) to the Processing Institution.

·         I acknowledge that the Processing Institution named by me (us) is not required to verify that a PAD has been issued in accordance with the particulars stated in this Authorization including, but not limited to, the amount.

·         I acknowledge that the Processing Institution is not required to verify that any purpose of payment for which the PAD was issued has been fulfilled by the Payee as a condition of honouring a PAD issued or caused to be issued by the Payee on my (our) account.

·         Revocation of this authorization does not terminate any contract for goods or services that exists between the Payor and the Payee.  This Authorization applies only to the method of payment and does not otherwise have any bearing on the contract for goods or services exchanged.

·         I acknowledge that a claim on the basis that the Authorization was revoked, or any other reason, is a matter to be resolved solely between the Payee and myself when disputing any PAD after 90 calendar days.

By signing below, I authorize Sapphire Condominium Management Inc. to initiate preapproved debit withdrawals as described above.

PLEASE NOTE: Sapphire Condominium Management utilizes only electronic payment methods. *Electronic Payment methods are faster, cheaper, have lower risk of fraud, have increased security, and are more reliable.

For any inquiries or to submit this form, please contact: michel@sapphirecondomgmt.ca