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3. Automatic Bank Draft Option
Would you like to enroll in our automatic bank draft payment option? ___ Yes ___ No
If yes, please attach a voided check to this application. You may also sign up for this service online at a later date.
If yes, please read the below statement and initial to authorize automatic bank drafts from your account.
I authorize the Financial Institution named on my voided check to pay my monthly utility bill by charging each payment to the account
specified by me. I agree that each payment shall be the same as if it were an instrument personally, signed by me. This authority is to
remain in effect until revoked by me in writing. In addition, I have the right to stop payment of a charge by notifying Utility & Billing
Services 10 business days prior to the due date on my bill. If I do stop payment, I will still be responsible for payment of my utility bill by
the due date. I understand however that both the Financial Institution and the City of Oakland Park reserves the right to terminate this
plan or my participation therein. A service fee of $15.00 or 5% of the draft amount, whichever is greater, will be charged for all returned
bank draft payments
.
Initial: _______
4. Acknowledgments & Agreements
Please read and initial next to each statement below.
____
All utility bills are due upon receipt. A 1.5% or $10.00 penalty, whichever is greater will be applied to all balances that are
not paid within 25 days the billing date. Delinquent accounts will be subjected to termination and all applicable fees and
service charges.
____ Delinquent utility accounts, in an owner’s name, will result in a lien being placed on the owner’s property. Delinquent
accounts in a tenant’s name will be reported to collection agencies and may affect your consumer credit score.
____ Deposits shall be held in a non-interest-bearing account, all deposits (if not transferred) are applied to the final bill. If the
deposit exceeds the final bill, and no other outstanding fees or charges exist, then the remaining credit balance will be
refunded.
____ The account holder is responsible for all piping beyond the City’s meter; leaks and unintended use of water past the meter
are the financial responsibility of the account holder. Adjustments are only available in limited circumstances.
____ The City’s uses smart meter technology that allows account holders to track their water consumption by the hour, day,
week, and more. This powerful tool can help customers manage their water consumption and identify potential leaks. To
begin using this service, visit: https://eyeonwater.com
.
____ A new account administration fee of $35.00 will be applied to your first bill.
City Updates
The City of Oakland Park sends regular e-mail communications to residents and businesses on news,
special events, and programs. Would you like to receive these updates? ___ Yes ___ No
Applicant Agreement
I agree that the information I have provided is true, complete, and accurate. I understand that I will be billed for all
utility services charged at the above address until such time that services are discontinued. I am responsible for paying
for the utility services.
Signature of Applicant: Date:
click to sign
signature
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