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CITY OF GRAFTON UTILITY BILLING AUTOMATIC PAYMENT AUTHORIZATION (Please print) Name as shown on your account Daytime Phone Service Address Name×Address of Bank or Savings & Loan WRITE ONLY ONE ACCOUNT
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Automatic utility pymt authorizationdoc is a form used to authorize automatic utility payments from a bank account.
Any individual or organization who wishes to set up automatic utility payments from their bank account.
To fill out the form, you will need to provide your bank account information, authorization details, and sign the form.
The purpose of the form is to authorize automatic payments for utility bills to be withdrawn from a bank account.
The form typically requires bank account information, authorization details, and signature.
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