Direct Debit Cancellation Form

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Please complete and sign form, print and mail to:
Village of Cary
755 Georgetown Drive
Cary, IL 60013
I (we) request that the Village of Cary cancel my (our) automatic bank payment service. I understand that an ACH transmission can be sent up to seven (7) days prior to my due date, and that it is possible that this cancellation may not take effect until my next billing cycle.
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