Forms | Pre-Authorized Debit Cancellation Notice

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Crosby Property Management Ltd. and its processing agent
*
-

(Property Name & Address /Civic Address)

I/We, * (Payor Name), cancel my/our authorization to issue:
Please select: *

pre-authorized debits in the amount of * ($XXX.XX) against my/our account number * (Account Number) effective on * (DD/MM/YYYY).

I/We acknowledge that this cancellation does not terminate any other obligation that I/we may have with the Crosby Property Management Ltd.


Note: Please submit this cancellation notice to the office of Crosby Property Management Ltd. at least ten (10) business days in
advance of the next Pre-Authorization Debit (PAD) withdrawal.

Payee's contact information:
Crosby Property Management Ltd.
600 - 777 Hornby Street, Vancouver, B.C., V6Z 1S4
Tel: 604-683-8900
Fax: 604-689-4829
Email: crosby@crosbypm.com


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