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City of Griswold, Iowa

Automatic Withdrawal (ACH) Utility Billing Form

Automatic withdrawal occurs on the 10th of each month, or the next business day if the 10th falls on a weekend. This authorization remains in effect until the City receives written notice of its termination.

Bank information

Account type

Please attach a copy of a voided check if available, or bring one to City Hall.

Your signature

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