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Bank Draft Authorization Form for Monthly Water Bill Pay

  1. Information

    Save yourself time and money when it comes to paying your monthly water bill. Simply complete this Bank Draft Authorization Form and return it by mail, drop in the Night Drop Box, or to the Utility Billing Office during regular business hours with a voided check.  

    One form required per account, if you have multiple accounts. 

    Note: You will continue to receive a monthly statement; however, "Paid by draft" will appear on your bill. 

    All information is kept confidential. 

  2. Authorization

    The Town of Little Elm is hereby authorized to draft my bank account listed below on the due date of each month for my monthly water bill. I understand that my account will be paid by draft until I provide written notification to the Town of Little Elm Utility Department to cancel this authorization. 

  3. Address of Utility Service:
  4. Type of Account:
  5. To Print

    To print this form, complete the fields and hit Control+P. 

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