Change Notice Pre-Authorized Debit

Change Pre-Authorized Debit

LANDLOARD
c/o MetCap Living Management Inc.
260 Richmond Street, East, Suite 300
Telephone: 1 (416) 340-1600
e-revenue@metcap.com
www.metcap.com

1. Customer Information (Please print clearly)

Name

Building Address

Suite Number

Province

Postal Code

Phone Number

Email Address

2. Pre-Authorized Debit (PAD) Change Details

I/we, the payor, change my/our authorization to issue personal pre-authorized debits against my/our account number by completing the below. I/we acknowledge that this change does not terminate any other obligation that I/we may have with the Payee.

Reduce the Amount for

August 1, 2020 PAD

Reduce Amount

Name of Account Holder

Signature of Account Holder

Sign Here

Date

Name of Joint Account Holder (if applicable)

Signature of Joint Account Holder (if applicable)

Sign Here

Date

Pre-Authorized Payment Program/PAD form 2 - EN V1.5 0820 E