ACH Authorization

Utility Billing | 1140 Terex Road | Hudson, Ohio 44236 | (330) 342-1710

 

CUSTOMER INFORMATION

Please complete.

 
 
 
Phone
 

For example, 1140 Terex Road

 
 
 
 

If you do not know your Account Number, please enter "Unknown."

 

AUTHORIZATION TERMS

Authorization

 
 

electronic debit entries, and if necessary, credit entries, to my account listed below.


**Payment is deducted the 10th of each month for the amount due on the utility account.**


Recourse

I/we have certain recourse rights if any debit does not comply with this agreement. For example, I/we have the right to receive reimbursement for any ACH that is not authorized or is not consistent with this ACH Agreement. I/we understand that this authorization shall remain in full effect until it is canceled in writing in such time and manner to allow the City of Hudson and the applicable financial institution a reasonable opportunity to act upon it. For the avoidance of doubt, I/we agree to notify the City of Hudson at least 15 days in advance of any changes.


 

 

ACCOUNT DETAILS AND AUTHORIZING SIGNATURE(S)

 
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Email Confirmation

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PLEASE MAKE SURE YOU CLICK SUBMIT!

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