2. 

3. Tax Installment Payment Plan (TIPP) Cancel / Change Authorization

5. The Tax Installment Payment Plan (TIPP) Cancel / Change form is to be used by taxpayers to terminate their participation in the TIPP program, either permanently or due to a Council-authorized deferral program.

7. Cancel or Change*

   Would you like to Cancel or Change your TIPP Authorization?

   1. Cancel
   2. Change
9. Effective Date*
   Effective Date

   The deadline for TIPP termination is 15 days prior to the next payment date, in order to terminate the program beginning with that upcoming payment.

10. Tax Roll Number
12. Reason for Cancellation*

    1. Sold the property (you may re-enroll if moving to a new property in Diamond Valley)
    2. Choosing to pay manually
    3. Someone else is going to pay the tax bills
    4. Deferral Program authorized by Council (i.e. disaster)*
    5. Other

    **Deferral Programs are only offered by Council authorization, per Black Diamond Bylaw 2020-05. It is the sole responsibility of the account holder to obtain recalculated payments and notify the Town when they are ready to re-enroll in the TIPP program. If you require assistance, please email or call the Tax & Utility Clerk.

14. If other, please describe reason*
16. Reason for Change*

    1. Moved / new address
    2. Changed bank account information
    3. Changed name / contact information
    4. Someone else is going to pay the taxes
    5. Other
18. If other, please describe reason*
20. ACCOUNT HOLDER INFORMATION
22. FIRST Name*
23. LAST Name*
25. Joint Owner Name(s)

    If more than one Joint Owner, please separate by commas.

27. Residential (Physical / Civic) Address*
29. Mailing Address
31. City / Town*
32. Province
33. Postal Code
35. Phone Number*
36. Email Address*
38. NEW BANK ACCOUNT INFORMATION
    
    Name(s) on the Bank Account

    Include ALL names registered on the bank account.

    Please verify that your information is correct before submitting it.

    

40. Financial Institution Name*
41. Financial Institution Address*
43. Institution / Bank #*

    3 Digits

44. Branch / Transit #*

    5 Digits

45. Account #*

    Up to 12 Digits

47. Are you interested in receiving your tax and utility account correspondence (bills etc.) via email through our eServices program?

    1. Yes
    2. No

    Sign up for eServices today

49. ACKNOWLEDGEMENT & AGREEMENT
51. Acknowledgment*

    I instruct the Town of Diamond Valley to cancel or change the TIPP payments on my account in accordance with the instructions given on this form. 

    If cancelling, I understand that it is my responsibility to re-enroll in TIPP should I wish to participate again.

    1. I agree to the CANCELLATION of my TIPP payments
    2. I agree to the CHANGE of my TIPP information
53. Choose an Option:*

    1. I am the property owner on file for this TIPP account
    2. I am a lawyer or authorized representative acting on behalf of the property owner
55. Agreement*

    I acknowledge that, by typing my name above, I agree to the content of this form  as if I had endorsed this document with my own handwritten signature.  I further agree that all of the information on this termination form is true, accurate and complete to the best of my knowledge.

57. Acknowledgement of additional account holders

    For joint accounts where more than one signature is required on cheques, all required signatures must be provided. I acknowledge by typing the name above that any additional bank account holders have agreed to the Terms and Conditions of the TIPP authorization above, and that such entry is endorsed as if with their handwritten signature.

59. Information Collection

    The personal information collected through the Tax Installment Payment Plan (TIPP) Cancel/Change Authorization is for the cancellation of the Town of Diamond Valley's TIPP program and tax services. This collection is authorized under section 4(c) of the Protection of Privacy Act. For questions about the collection of personal information, contact the Privacy Office LegislativeServices@DiamondValley.town or 403-933-4348

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61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field