Property Tax E-Billing Sign Up Form | Township of Wainfleet

Thank you for choosing to receive your property tax, supplemental and/or drainage bills electronically. Please complete the form below to enroll in e-billing. This form is authorized under the Municipal Act, 2001 and the information collected is protected under MFIPPA.

Required fields are marked with asterisks (*)

Name(s):

Roll Number

Email Address:

Phone Number:

Signature(s)

Sign above

Additional Signature(s)

Sign above

Today's Date

By signing the above:

I/we confirm that I/we are the legal owner(s) of the property.

I/we authorize the Township of Wainfleet to send property tax, supplemental bills, or drainage bills to the email address provided.

I/we understand that I am/we are responsible for ensuring that the Municipality has the correct email address on file.

I/we understand that non-receipt of an emailed bill does not excuse late payment or penalties.

I/we acknowledge that email delivery is not guaranteed and that it is my/our responsibility to check junk/spam folders.

I/we understand that this authorization may be revoked at any time in writing.

Notice of Collection:
Personal information on this form is collected under the authority of the Municipal Act, 2001 and will be used for the purpose of administering the billing process for municipal services. Questions about this collection should be directed to the Township Clerk.