Pre-Authorized Payment Application Form Sample Contracts

Pre-Authorized Payment Application Form (Water/Sewer)
Pre-Authorized Payment Application Form • April 5th, 2020
Contract Type
Filed
April 5th, 2020
Option 3 – Payment amount to be chosen by you. Twelve (12) monthly payments of your choice. (Penalty applied on outstanding balances).

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This agreement is for (check one):
Pre-Authorized Payment Application Form • January 19th, 2021
Contract Type
Filed
January 19th, 2021
Option 3 – Payment amount to be chosen by you. Twelve (12) monthly payments of your choice. (Penalty & monthly interest applied on outstanding balances).

This agreement is for (check one):
Pre-Authorized Payment Application Form • April 5th, 2020
Contract Type
Filed
April 5th, 2020
Option 3 – Payment amount to be chosen by you. Twelve (12) monthly payments of your choice. (Penalty & monthly interest applied on outstanding balances).