Required fields are marked with asterisks (*)

Landfill Account Application - Commerical Businesses & Contractors Only

I/We hereby request the Municipality of West Perth to set up an account for billing purposes.

Legal Name of Business

Trade Name, if different from above

Contact Name

Phone Number

Address

Would you like to sign up for email billing?

Yes

Signature

Clear

Terms & Conditions:

The undersigned hereby declares:

1. Any waste taken to the landfill must be on behalf of the Municipality of West Perth ratepayer.

2. All amounts are payable within 30 days of the specified due date on the invoice received.

3. Any outstanding balances past 30 days will be subject to the current receivables interest rate as per the fees and charges by-law. Interest is applied at the beginning of the month following the payment deadline.

4. Any accounts still outstanding after 60 days will be collected in the following manner:

For West Perth property owners, an arrears notice will be sent and subsequently transferred to the property taxes for collections as per the Municipal Act.
For all remaining account holders, if the final notice remains unpaid, the Municipality will commence a third party collections process.

Personal information collected on this form is collected under the authority of the Municipal Act, 2001, as amended, for the purposes of reviewing this application. Questions regarding the collection of personal information should be directed to the Clerk's Department, Municipality of West Perth, 169 St. David Street, P.O. Box 609, Mitchell ON, N0K 1N0, 519-348-8429.