Fillable Cancellation Of Automatic Funds Transfer Ada

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Cancellation Of Automatic Funds Transfer Ada

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CITY OF EDGEWATER
FINANCE DEPARTMENT
104 North Riverside Drive
P.O. Box 100
Edgewater, Florida 32132
customerservice@cityofedgewater.org
Phone: (386) 424-2400 FAX: (386) 424-2409
CANCELLATION OF AUTOMATIC
FUNDS TRANSFER
Today’s date:
Account Number:
Customer Name:
Service Address:
I hereby give notice to the City of Edgewater to cancel my Automatic Funds Transfer Account.
Date for Cancellation:
Customer Signature:
If in the future you would like to reactivate your account, you will need to fill out a new request
form.
Revised 11/18/2014
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Cancellation Of Automatic Funds Transfer Ada

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Completed 14 July 2020

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