Authorization Agreement - Village of Northfield 2025

1. Click ‘Get Form’ to open the Authorization Agreement in the editor.
2. Begin by entering your name and address in the designated fields. Ensure that all information is printed clearly for accurate processing.
3. Provide your telephone number in the appropriate section to facilitate communication regarding your account.
4. Select your preferred payment method by choosing either 'AUTOPAY FROM CHECKING/SAVINGS ACCOUNT' or 'AUTOPAY FROM CREDIT CARD'. Fill in the required details based on your selection.
5. If you choose checking/savings, enter your account number, bank name, city, state, and zip code. Remember to attach a voided check for verification.
6. For credit card payments, select the card type and fill in your card number, CVV2/CVC2, expiration date, and name as it appears on the card.
7. Optionally provide an email address for notifications related to your payments.
8. Review the authorization statement carefully before signing and dating the form at the bottom.

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