Authorization Agreement for Direct Payments

  • Utility Billing Division 
    300 Country Club Road, Bldg. 100 
    Wylie, TX 75098 
    Tel: 972-516-6100 / Fax: 972-516-6143 
    utility@wylietexas.gov
  • Company Name: City of Wylie 

    I (we) hereby authorize City of Wylie, hereinafter called COMPANY, to initiate debit entries to my (our) Checking Account/Savings Account (select one) indicated below at the depository financial institution named below, hereafter called BANK, and if necessary, initiate adjustments for any transactions debited in error. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law. This will take effect when the bill has the words “Bank Draft – Do Not Pay.” Until you see this on the bill, the bill still needs to be paid in the normal manner. 
  • Bank Information

  • This authorization is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner to afford COMPANY and BANK a reasonable opportunity to act on it.
  • Customer Information

  • Service Address

Authorization

  • NOTE: WRITTEN DEBIT AUTHORIZATIONS MUST PROVIDE THAT THE RECEIVER MAY REVOKE THE AUTHORIZATION ONLY BY NOTIFYING THE ORIGINATOR IN THE MANNER SPECIFIED IN THE AUTHORIZATION.