Scribd
Upload
13 views1 page

Auto-Draft Authorization for Utility Bills

This document is an Automatic Bank Draft Authorization Agreement for utility bill payments through Submeter One. Customers are required to submit a completed form along with a voided check or bank letter to enroll in the auto-draft service. It emphasizes the importance of continuing to pay bills until confirmation of auto-draft is received on the statement.

Uploaded by

boobooscoot111
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
13 views1 page

Auto-Draft Authorization for Utility Bills

This document is an Automatic Bank Draft Authorization Agreement for utility bill payments through Submeter One. Customers are required to submit a completed form along with a voided check or bank letter to enroll in the auto-draft service. It emphasizes the importance of continuing to pay bills until confirmation of auto-draft is received on the statement.

Uploaded by

boobooscoot111
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

5735 Essen Lane, Suite 200

Baton Rouge, LA 70810


(225) 769-3403

AUTOMATIC BANK DRAFT – AUTHORIZATION AGREEMENT


Avoid Late Fees! Sign up for Auto-draft today!
With Automatic Bank Draft, your utility bill is automatically paid through your regular checking account,
saving time and expense (provided your account is not on a money order-only basis).

Mail, e-mail or fax this completed form along with a voided check OR a bank authorized letter with your
account and routing numbers (a bank authorized letter with your account and routing numbers may be
obtained from your bank’s web-site or by visiting your local bank branch).

Submeter One
Attn: Automatic Payments E-mail: support@[Link]
PO Box 4129 Fax: 225-769-9644
Baton Rouge, LA 70821

IMPORTANT: Please continue paying your utility bill until your statement includes this message:
“PAID BY AUTO-DRAFT ON DUE DATE”
.

Submeter One Account Name

Submeter One Account Number

Utility Service Address

Mailing Address (if different)

Phone Number (required)

E-mail Address

Name as shown on Bank Account

Bank Name

Bank Address

Routing Number

Checking Account Number

I hereby authorize Submeter One, LLC to withdraw funds, and my bank to debit my checking account, in payment of my monthly
utility bill. This authority is to remain in full force and effect until Submeter One, LLC AND my bank has received written
notification from me of its termination. I agree that I will provide notice of termination to Submeter One at least TEN (10) days
before my current bill is due and that, should I terminate this authorization, I will pay my current bill on or before the due date.

Customer Signature Date


Print Form

You might also like