Kenansville Bank Draft Application

Name Name First Last
Service Address Service Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Water/Sewer Account Number
Bank Information:
Bank Name
Bank Branch
Bank Routing Number
Bank Account Number
The Town of Kenansville is hereby authorized to honor drafts each month, drawn by and payable to the Town of Kenansville on the above account. This authority is to remain in effect until revoked by me in writing. I further agree that if any such draft be dishonored whether with our without cause and whether intentionally or inadvertently The Town of Kenansville shall be under no liability whatsoever.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
If joint account, additional signature required

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Note

Bank drafts are normally drafted on or immediately after the 20th of each month.