I hereby authorize the Village of Lake Zurich and the financial institution listed below to pay
my water bill on the scheduled due date of the bill. Each payment will be the same as if it were
personally signed and authorized by me. This authority is to remain in effect until the Village of
Lake Zurich has received written notification from me of the termination, a minimum of 10
business days prior to the scheduled due date. The Village of Lake Zurich reserves the right
to terminate this payment plan or my participation with written notification.
Processing of this application will occur in the next 30 days. I am responsible for paying my
water bill to the Village of Lake Zurich until my bill indicates that my direct debit payment
program is established. My bill will note when the direct debit begins. I will continue to be
mailed a regular bill for my records.
You can find this on your water bill
Enter your full name above to accept the terms of this application.
We will confirm your application via email within the next 4 business days. It will take two (2) billing cycles before the automatic payment will become effective.
Please call us at 847-438-5141 if you have any questions.
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