(as it appears on your bill)
Please upload a picture or scan of a VOIDED check
I hereby authorize the City of Henderson to send my bill through my email address. I understand I will no longer receive a standard paper bill via the US Postal Service until this email option has been voided. Prompt notification of changes of my email address to the City of Henderson will be my responsibility.
I hereby authorize the City of Henderson to make automatic withdrawals from the financial institution and account specified on this
authorization form. I understand that the funds will be withdrawn from my account on my normal due date. This authorization will
remain in effect until cancelled by the City of Henderson or via signature by me.
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