Bank Draft Cancellation Form
How to Cancel:
1. Complete the short cancellation form below and return the form by
2. Mailing to:
Water Billing Office
P.O. Box 1337
Pasadena, TX 77501
3. Or fax to 713.475.4945
Or scan and email to
5. Or delivering in person to our office located at 1202 Southmore Ave., Pasadena, TX
Want more information? Call us at 713.475.5566
Cancellation Form
Please Print
_______________________________ _____________________________________________
Your City of Pasadena Water Account # Name on City of Pasadena Water Account
Name of your financial institution
Name as shown on financial institution records
I authorize the City of Pasadena to cancel my automatic bank draft and no longer
deduct funds from my checking/savings account at the financial institution listed above
to pay my City of Pasadena water bill.
________________________________________ __________________________
Signature Date
click to sign
click to edit