Pre-Authorized Payment Application I hereby authorize the Township of Ashfield-Colborne-Wawanosh and the financial institution indicated on my VOID cheque/application to begin withdrawals for payment of my tax account(s). This authority is to remain in effect until I notify the Township of its termination. Your Name (required): Your Email (required): Your Address (required): Home Telephone: Work/Mobile Telephone: Starting Date: Payment Type: Installment Date Only Property Roll Number(s): Attach a VOID cheque/deposit slip image/scan. For security purposes, please answer the following simple math problem: What is four plus three? 4+3=?