Fillable - Authorization To Stop Bank Draft Form (Lancaster County Water and Sewer District)

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- Authorization To Stop Bank Draft Form (Lancaster County Water and Sewer District)

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!
Lancaster County
Water & Sewer District “Serving Lancaster County For Over 50 Years”
_____________________________________________________________________________________________
!
P.O. Box 1009 – Lancaster, South Carolina 29721
Phone 803-285-6919 – Fax 803-285-9574
!
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!AUTHORIZATION!TO!STOP!BANK!DRAFT!
!
NAME:!______________________________________________!
ADDRESS:!____________________________________________!
!!!!!!!!!!!!!!!!!!!____________________________________________!
!!!!!!!!!!!!!!!!!!!____________________________________________!
ACCOUNT!NUMBER:!___________________________________!
!
THIS!STATEMENT!IS!TO!VERIFY!MY!REQUEST!TO!STOP!THE!BANK!DRAFT!FOR!THE!ACCOUNT!NUMBER!
LISTED!ABOVE.!I!UNDERSTAND!THIS!WILL!BE!DONE!AT!THE!NEXT!BILLING!CYCLE!THAT!IS!NOT!ALREADY!
IN!PROCESS!AT!THIS!TIME!FOR!MY!ACCOUNT.!
!
_______________________________________!
SIGNATURE!OF!CUSTOMER!
_______________________________________!
DATE!
_______________________________________!
SIGNATURE!OF!EMPLOYEE!
_______________________________________!
COMPUTER!POSTED!DATE!
_______________________________________!
POSTED!BY!
!
!
LCWSD Fax Number - (803) 285-9574
Please send all faxes to (803) 285-9574
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- Authorization To Stop Bank Draft Form (Lancaster County Water and Sewer District)

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Completed 30 May 2021

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