Pre-Authorization Form

A taxpayer can set up payment plan for the 1st or 15th of the month or Semi-Monthly with the City by filling out a Pre-Authorization form and providing a void cheque or a Direct Deposit form from your financial institution.  Due to COVID-19 restrictions the Pre-Authorization form is now available for completion via the website.

This form is to be used for the initial authorization to establish the PAD Option. If you have any questions about the PAD Option, please contact the City Collector, Michelle Walsh (709) 637-1568 or collector@cornerbrook.com. All personal information collected by this form are done so exclusively with your consent, by means of a form posted on our website, an email received from you or by telephone.
  • I/We hereby authorize the City of Corner Brook and the financial institution indicated to release funds for payment of personal property or business taxes in the amount of:
  • I/We hereby authorize the City of Corner Brook and the financial institution indicated to release funds for payment of personal property or business taxes starting the month of:
  • I/We hereby authorize the City of Corner Brook and the financial institution indicated to release funds for payment of personal property or business taxes with the payment frequency of (all payments must be the 1st, the 15th or semi monthly):
  • Please Provide the Following Banking Information and include a voided cheque or Direct Deposit Form
    Drop files here or
    In order to reduce paper we will only send a receipt, if requested by you. Please indicate if you wish to receive your receipt: