Required fields are marked with asterisks (*)

Pre-Authorized Tax Payment Plan Form

Please Select One:

Arrears Plan

Installment Plan

11 Month Plan

Effective Date (MM/dd/yyyy):

I/We want to register for the Pre-Authorized Tax Payment Plan

Agree

Roll Number

Property Address (Service Address)

Billing Name(s):

Telephone: (Res)

Telephone: (Bus)

I/we authorize the Town of Aurora to begin deductions for payment of our tax account

I/we ensure that the funds will be available each month to cover the withdrawal.

I would like to receive an e-mail copy of my form

Yes

I acknowledge the form as being accurate and complete. Any information that is incomplete or inaccurate may result in a Town imposed fee.

Yes