PREPAYMENT RE-ENROLLMENT/UPDATE APPLICATION

This application is strictly for UPDATING/RE-ENROLLING BANK DRAFT DETAILS on an EXISTING prepayment plan. Any application received from this page that is NOT CURRENTLY ENROLLED on a prepayment plan will be disregarded without notice.

PARCEL INFORMATION

PARCEL NUMBER(S)

PARCEL ADDRESS(ES)

TAXPAYER INFORMATION

YOUR FULL NAME

CURRENT MAILING ADDRESS

CITY, STATE & ZIP

PHONE NUMBER

BANK ACCOUNT INFORMATION

TYPE OF ACCOUNT

NAME OF BANK

ROUTING NUMBER

ACCOUNT NUMBER Enter account number exactly. Copy & paste is disabled.

CONFIRM ACCOUNT NUMBER Enter account number exactly. Copy & paste is disabled.

I acknowledge the following with my initials below:

If my application is submitted less than 60 days from the first half due date or the second half due date any remaining taxes (delinquent or current balance due) will be drafted out of the bank account provided below on the due date to bring my taxes current.

If I still have an active mortgage, I am aware that this plan is NOT an escrow replacement, and I am responsible for paying my taxes by the semi-annual due dates in accordance with my mortgage agreement to avoid adverse consequences.

By enrolling onto MONTHLY or SEMI-ANNUAL BANK DRAFT Prepayments, automatic withdrawals would remain in effect until I provide notice to stop it to Taxpayer-Services@mcohio.org or (937) 225-4010, Option 1.

My digital signature below authorizes the Montgomery County Treasurer's Office to draft out of the bank account I provide below. Furthermore, if I need to make any changes to my bank account information registered on this parcel, I will need to submit a new application with updated banking details.

DIGITAL SIGNATURE