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Documents>Sign up for Auto Pay for Utility Billing

Auto Pay Authorization

To sign up for Auto Pay for your utility bill please complete the form below. There is also a PDF form available, to print and return it to the Utility Billing Clerk at 160 Zoll Street, Harbor Springs, MI 49740 by mail or in person at City Hall. Your monthly utility payment will be automatically deducted from your bank account on the 15th of every month. You will still receive a statement in the mail, “Auto Pay Customer” will be printed in the lower left corner. Auto Pay may be cancelled at any time. Please contact Becky Alkema at (231) 526-0602 if you have any questions. ***If for any reason the payment is returned to us as unpaid or account not found, you will be assessed a $35.00 fee.

ACH DEBIT AUTHORIZATION AGREEMENT

Customer Name*
First Last
Phone
Email
Service Address*
Street Address Address Line 2 City State ZIP Code
Utility Account Number
Utility Account Number
Utility Account Number
Utility Account Number
Banking Information
Choose Account*
- Checking Account
- Savings Account
Bank Name
Branch
Bank Address
Street Address Address Line 2 City State ZIP Code
Routing Number*
Account Number*
Authorization Agreement*
- I (we) hereby authorize the City of Harbor Springs (the "City") to initiate debit entries to my (our) bank account to pay the monthly utility charges billed by the City of Harbor Springs. Indicated above at the depository financial institution (the DEPOSITORY) named above, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. Law.
*This authorization is to remain in full force and effect until the City of Harbor Springs has received written notification from the Customer of its termination in such time and in such manner as to afford the City and Depository a reasonable opportunity to act on it or for a minimum period of one (1) year.
*If for any reason the payment is returned to us as unpaid or account not found, you will be assessed a $35.00 fee

Documents

Auto Pay Authorization

ACH DEBIT AUTHORIZATION AGREEMENT

Banking Information