Brunswick Sewer District

10 Pine Tree Road, Brunswick, Maine  04011

Direct Payment

Telephone (207) 729-0148

Fax (207) 729-0149

 

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Click here to go to the sewer payment page.

 

We are pleased to offer you a new service – the Direct Payment Plan.  Now you can have your payment deducted automatically from your checking or savings account.  And, you won’t have to change your present banking relationship to take advantage of this service
     

Your payment will be made automatically on the specified day that is identified on your bill.
     

The Direct Payment Plan is dependable, flexible, convenient and easy.  To take advantage of this service, print out the authorization form on the next page, complete the form, and return it to us.
     

All you need to do:
     
  1.

Mark the box before the type of account to indicate whether your payment will be deducted from your checking or savings account
     
  2.

Fill in your financial institution’s name, location and routing number.
     
  3.

Fill in your account number.
     
  4.

Attach a voided check if the payments are to be deducted from your checking account.
     
  5. Be sure to sign the form.
     
Once we receive your completed authorization form and update our billing system with the information, the direct payment will be activated with your next quarterly bill.  Watch your next sewer bill for a statement indicating automatic payment was implemented.
     

Please remember to notify us when you change your bank or bank account.
     
If you have any questions, please give us a call at the above number.  Once the automatic attendant answers the phone, please dial extension 10.

 

 

 

 

BRUNSWICK SEWER DISTRICT

AUTHORIZATION FOR DIRECT PAYMENT

I (we) hereby authorize the Brunswick Sewer District to initiate electronic debit entries to my (our):  

       Checking Account

or

  Savings Account                (circle one)
             
indicated below for the payment of my sewer bill, and to debit the same to such account.  I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U. S. law. 
             

This authorization will remain in effect until I (we) have cancelled it in writing.
             

I (we) are aware that insufficient funds in my account at the time of the initiation of the direct payment will result in a $20.00 NSF fee charged to my sewer account and will automatically cancel the direct payment arrangements with the Brunswick Sewer District.
             
Financial Institution Name (Please Print):                 ___________________________________________________________
             
Financial Institution Address:                 ___________________________________________________________
             
                        ___________________________________________________________
             
Financial Institution Routing/Transit Number:    ____________________________________________________
             
Account Number at the above Financial Institution:   ____________________________________________________
             
  1. ________________________     _________________________________________
   

(Date)

    

(Signature)
             
            _________________________________________
           

(Print Name)
           
  2. ________________________     _________________________________________
   

(Date)

    

(Joint Account Signature)
             
            _________________________________________
           

(Print Name)
             
   

****  Please notify us when you change your bank or bank account.  Thank you. ****