Direct Debit Form

Direct Debit Form

For Monthly Rent Payment
This form must be submitted no later than the 15th day of the month prior to the month in which payments are scheduled to begin.

For example, if you would like payments to begin on June 1, the form must be received by our office no later than May 15.
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
Direct Debit Start Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPayments must commence on the 1st day of the month.
Monthly Rent Amount: The amount Drummer Realty & Property Management is authorized to debit from your bank account each month. This amount must match the monthly rent specified in your lease agreement.
TYPE OF SERVICE: PERSONAL
I/We hereby authorize Drummer Realty & Property Management to debit my/our bank account for the monthly rental amount selected above, plus the applicable $1.00 processing charge. The first payment will be withdrawn on the commencement date selected above, and subsequent payments will be withdrawn on the 1st day of each month or, if the 1st falls on a non-business day, on the following business day.

If my/our monthly rent is increased in accordance with the terms of my/our lease and applicable Alberta requirements, I/we authorize Drummer Realty & Property Management to adjust the amount of the monthly debit to reflect the increased rent, effective on the date the increase takes effect. No monthly debit will exceed the applicable monthly rent amount, plus the authorized processing charge, without my/our prior authorization.

Each debit made under this authorization will be considered an authorized payment toward my/our rental obligations. I/We understand that any payment not honoured by my/our financial institution may be subject to a $45.00 NSF fee. This authorization will remain in effect until cancelled by me/us in writing.
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.

Cancelof
I/We acknowledge that a $1.00 processing fee will be charged in addition to the monthly rent each time my/our account is debited.
I/We acknowledge that a $45.00 NSF fee may apply to any payment not honoured by my/our financial institution.
I/We acknowledge that if the first day of the month falls on a weekend or statutory holiday, rent will be withdrawn from my/our bank account on the next business day. I/We understand that processing may take 2–3 business days..
Did you read this Direct Debit form and agree to its terms and conditions?
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.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Bank account holder (1) signature
Bank account holder (2) signature
Should be Empty: