BANK DRAFTAUTHORIZATION Description text I (we) hereby authorize ARGYLE WATER SUPPLY CORPORATION to initiate entries to my checking/savings accounts at the financial institution listed below (THE FINANCIAL INSTITUTION) and, if necessary, initiate adjustments for any transactions credited in error. This authority will remain in effect until ARGYLE WATER SUPPLY CORPORATION is notified by me (us) in writing to cancel it in such time as to afford ARGYLE WATER SUPPLY CORPORATION and THE FINANCIAL INSTITUTION a reasonable opportunity to act on it. Your account will be drafted on or before the 10th of each month, unless the 10th falls on a weekend or holiday, in which case, it will be drafted the first business day following the 10th. In the event that this draft cannot be processed due to insufficient funds, your account will be charged a $25.00 NSF fee by AWSC, and a cash payment will be required.Name of Financial Institution Address of Financial Institution Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SignatureDate MM slash DD slash YYYY Name Phone (Day)Phone (Evening)Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Checking/Savings Account Number Financial Institution Routing Number
