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Pre-Authorized Water and Wastewater Cancellation Form

Consent

As the owner / tenant of the property, I am consenting that the Town of Aurora remove the address listed above from the Town of Aurora’s Pre-Authorized Water Payment Plan

Effective Date:

Please be advised:
The Town of Aurora requires a minimum of 15 business days prior to the next scheduled due date of the Pre-Authorized debit to allow for any changes in account information or cancellation from the program.

I would like to receive an e-mail copy of my form

Yes