PAYOR'S PAD AGREEMENTPersonal Pre-Authorized Debit Plan Application/Changes/Cancellation forTAX INSTALLMENT PAYMENTS PLAN SERVICE (TIPPS)Payor's Pad Agreement • October 29th, 2019
ROLL NUMBER CIVIC ADDRESS BEACH/DIVISION APPLICANT(S) NAME HOME/CELL PHONE BUSINESS PHONE APPLICANT(S) NAME HOME/CELL PHONE BUSINESS PHONE MAILING ADDRESS