Direct Debit Authorization Form

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Please complete and sign form, attach a voided check, print and mail to the Village of Cary, 755 Georgetown Drive, Cary, IL 60013.
I (we) authorize the Village of Cary and the financial institution listed below to transfer (debit) money from my (our) checking or savings account and remit payment for my (our) water & sewer bill.
This authorization will remain in effect until the Village of Cary has received written notification from the account holder of its termination.
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