Direct Debit Form

This form must be submitted no later than the 15th day of the preceding month. For example, if you would like payments to commence on June 1st, this form would have to be received by our office by May 15th.

Name of Tenant(s) on the Lease (Leaseholders)*

Address of Rental Property

Unit

Street

CityProvince

Postal Code

Name of Person(s) on the bank account that rent is debited from *

Email address of person(s) on the bank account *

This is mandatory in order for direct debit service to be setup

Date that direct debit should commence (must be on the 1st day of the month).*

Dollar amount (rent amount) that Drummer Realty is permitted to debit from your bank account each month (must be the same as what's stated on lease). *

TYPE OF SERVICE: PERSONAL
I/We hereby authorize Drummer Realty & Property Management to debit my/our account for the amount of my/our monthly rental fee, as of the commencement date selected above, in the amount selected above, per month plus, the $1.00 processing charge on the 1st day of each month of following business day. Should my rent be increased by proper 90 days' notice I permit Drummer Realty & Property Management to debit my/our account at the increased amount as of the date the increase takes effect. No single monthly draw against my/our account may exceed this amount without my/our prior consent. Each payment shall be treated the same as if I/we had personally issued a written direction authorizing Drummer Realty & Property Management to debit the amount specified from my/our account. This authorization shall remain in effect until cancelled by me/us in writing. I/We further understand that any payments not honored by my/our bank may be charged a processing fee of $45.00. Two to five (2-5) business days should be allowed for processing payments by the bank.

I acknowledge that I may request to cancel this service for one month if needed, with a minimum of two weeks' notice to Drummer Realty & Property Management before my account is debited. If proper notice is not received the account may still be debited. I may revoke my authorization at any time to cancel this service entirely, subject to providing 30 days' notice in writing. 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 www.cdnpay.ca

Mandatory: attach a sample VOID cheque (or equivalent bank form) to ensure accuracy of the institution, transit and bank account numbers. *

I/We acknowledge that to use this service, I/we will be charged a $1.00 processing fee in addition to the monthly rent amount each time my account is debited.*

Yes, I/we acknowledge

I/We acknowledge that if the first day of the month falls on a weekend or statutory holiday, rent will be pulled from my bank account on the next business day.*

Yes, I/we agree

Did you read this Direct Debit form and agree to its terms and conditions?*

Yes, I/we agree

Please note: for joint accounts, all depositors must sign if more than one signature is required on cheques issued against the account. If signing on behalf of a corporation, please affix a corporate seal or attach resolution of signing authority.

Bank account holder (1) signature *

Bank account holder (2) signature