"Automatic Bank Draft Authorization Form Annual Tax Payment"
Automatic Bank Draft Authorization Form Annual Tax Payment NO Partial payments will be accepted ***Please note that if the ownership of the property should Deborah M Hunt, C T A change or if your checking account information has changed, Tax Assessor Collector it is your obligation to contact the Williamson County Tax Assessor/Collector’s Office immediately to ensure the accuracy of this transaction*** Assessor/Collector’s , I (we) hereby authorize the Williamson County Tax Assessor/Collector Office, herein called Company, to initiate debit entries to my (our) checking [ ] savings [ ] account (select one) indicated below and the U.S. Bank named below, herein called Depository. I (we) ct understand that a NSF fee will be charged, as allowed by applicable law, if any item is returned for any reason. ame _______________________________________City___________________________ Bank Name _______________________________________City___________________________ State______________ ____________________ Acct# _____________________________________ Routing Number ______________________________ ________________ hand (9 digits on the lower left-hand corner of your check) weekend/holiday it will be drafted the NEXT business day) Start Date: ___________________________ (if date falls on a weekend/ t , Please return this form to us, along with an UNSIGNED, VOIDED CHECK at least 10 business days prior to the selected start date to ensure timely processing of your YEARLY tax payment. This authority is to remain in full force and effect until Company and Depository have received written notification from me (us) of this termination in a timely manner as to afford Company and Depository a reasonable opportunity to act on it. ame_____________________________________ #________________________________ Taxpayer Name_____________________________________ Property ID#________________________________ Property Address_______________________________________________ Phone__________________________ Address_____________________________________________________________________________ Mailing Address_________________________________________________________ State__________ Zip_______________________ City____________________________ State_______ address________________________________________________________________________ Email address_________________________________________________________ Signature___________________________________________________ Date_____________ Signature____________________________________________ Signature (if required) ____________________________________________ Date_____________ Return this form, along with an UNSIGNED, VOIDED CHECK to Williamson County Tax eturn Assessor/Collector’s Office at 904 S. Main St., Georgetown, TX 78626, Attn: Gretchen Doty or fax to us email@example.com. at (512)943-1547 Or you can send an email—address it to firstname.lastname@example.org For more 1547. (512)943-1543. information please call (512)943 WILLIAMSON COUNTY Main Office and Mailing Address: Locations: Annex Locations 904 South Main Street 211 Commerce Blvd., Ste. #101 350 Discovery Blvd., Ste. #101 412 Vance St., Ste. #1 Georgetown, Texas 78626 Round Rock, Texas 78664 Cedar Park, Texas 78613 Taylor, Texas 76574 Phone: (512) 943-1601 248-3278 Phone: (512) 248 Phone: (512) 260-4290 352-4140 Phone: (512) 352 Fax: (512) 943-3578 248-3253 Fax: (512) 248 Fax: (512) 260-4295 352-4143 Fax: (512) 352 www.williamson-county.org