DIRECT DEBIT PAYMENT PROGRAM

WHAT IS IT?

-A way to pay your Wadsworth Utility bills without writing checks.

-A way to avoid postage costs.

-A way to ensure timely payments.

-A way to avoid lost discount or late payment fees.

HOW DOES IT WORK?

First you authorize payment directly from your checking or savings account.

You will receive your normal billing showing you the date and the amount to

be deducted from your account. There will be time to question or stop the

payment if necessary. Note the date and amount in your account register. 

Your financial institution account statement will show the payment made.

HOW DO I SIGN UP FOR DIRECT DEBIT PAYMENT?

Complete the authorization form and return it to the Utility Office with

a voided check, if possible. This way we can retrieve accurate information

about your financial institution and account.The first billing after

authorizationwill be a "Pre-notification" to verify all routing information. 

Direct Debit Payment will begin with the billing after the "Pre-notification". 

This can take up to 8 weeks depending on where you are in the billing cycle.

You will know that the amount will be taken if: on your printed bill in

the right hand corner are the words "Auto-Pay".

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SIGN UP FOR DIRECT DEBIT

BILL PAYMENT

Please complete ALL Sections and return

this form to: Wadsworth Utilities,

120 Maple Street, Wadsworth OH 44281 

Phone: (330)335-2700

I authorize the City of Wadsworth Utilities to instruct my banking/savings institution

to make my utility payments from the account listed below. If at any time I decide to

discontinue this payment service, I will notify Wadsworth Utilities.

(PLEASE PRINT)

Name (as shown on bill):________________________________________________

Date:______________________

Service Address:__________________________________________________________

City:______________________

State:____________________________ Zip Code:_______________________________

Phone:_____________________

Signature:_____________________________________

Banking Information (Bank

, Savings & Loan, Credit Union)

Financial Institution:_______________________________________

RT#_________________________

Account Number:__________________________________ ___

Checking OR ____Savings

(Please enclose a voided check, if possible, so that we can record the correct banking information)

Print and Send into the Utility Office 120 Maple St. Wadsworth OH 44281