Monthly Escrow Plan Agreement – Fairfield County Treasurer

Fairfield County Treasurer’s Office, James N. Bahnsen, Treasurer

Monthly Escrow Plan Agreement for Payment of Real Estate Taxes

The taxpayer hereby requests the Fairfield County Treasurer to accept prepayments toward his/her estimated real estate property taxes, next due after the date of signing this agreement, and that prepayments will be retained in an escrow account until the next current tax collection is open and all prepayments can be applied toward the payment of real estate property taxes then due.

The taxpayer understands that prepayments made must be equal to or exceed the full amount of taxes due for that collection. The taxpayer also understands that if full prepayment has not been received by the due date, the taxes cannot be paid and penalties will be applied on the basis of the tax installment then due. The taxpayer authorizes the Fairfield County Treasurer to act as his/her agent for the purposes of receiving his/her tax bill(s) and applying prepayments to the real estate taxes then due.

The Treasurer agrees to furnish a tax bill that shows the total amount of prepayments made and the balance due at least 20 days prior to the closing date of the collection then in progress. Monies received as prepayments in the escrow account will not be released for other than the payment of taxes, except for reasons pertaining to transfer of ownership, death of the taxpayer, or as required by law.

Excesses remaining in an escrow account after the payment of real estate taxes will (1) remain and be applied to future real estate taxes, or (2) be returned to the taxpayer upon application to the County Treasurer. The application for return of excess escrowed funds will automatically terminate the existing agreement.

Taxpayer understands that when paying by mail, the entire coupon must be sent along with a stamped, self-addressed envelope IF the taxpayer desires a receipt that is stamped “paid”.

This program is in compliance with ORC 321.45

Parcel Number(s):

Fairfield County Treasurer’s Office, James N. Bahnsen, Treasurer

Monthly Escrow Plan Agreement for Automatic Withdrawal

I hereby authorize the Fairfield County Treasurer to initiate an automatic payment of my real estate taxes by debiting my bank account on the 15th day of each month. If a voided check is not attached with this application, I accept responsibility for all information provided above, and understand if the debit is rejected because of incorrect information penalties and/or interest may be charged.

I understand that any changes to my bank account information must be made in writing and processed before the 15th day of the month in which the debit is to occur. Any changes after the first of the month will not be effective until the following month.

Attach Voided Check Here

Sample Check

Sample check showing routing number, check number, and account number