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2. All applications must be received no later than the 5th of the month to have drafting established for that month's billing. This authority is to remain in effect until written notice of termination is given to Town of Prosper, Utility Billing Dept., P. O. Box 307, 250 W. First Street, Prosper, TX 75078. Written notice to discontinue drafting must be received no later than the 5th of the month. Utility bills will be mailed to utility customers on or about the 21st day of each month should no unforeseen circumstances exist. Utility payments will be drafted from customer accounts the 10th of each month with the exception of holidays, weekends, bank closing, or other unexpected events. In that event, payment will be drafted on the next business day. Account will be drafted for the full balance; no partial payments can be arranged. Please fill out the information requested and return application and voided check to the Town of Prosper at the above-mentioned address.

4. Select One:*

   1. New Authorization
   2. Change Authorization
6. I hereby authorize the Town of Prosper Utility Billing Department to initiate debit entries on my account with the Financial Institution indicated below.
8. Customer:
10. First Name*
11. Last Name*
13. Utility Account Number*
14. Email Address*
16. Phone Number*
18. Financial Institution
20. Bank Name*
22. Routing Number*
23. Account Number*
25. Account Type*
    -- Select One --CheckingSavings
26. Upload Void Check
28. Signature*
29. Date*
    Date

31. All information provided to the Town of Prosper Utility Billing Department will be strictly confidential and used for the intended purposed of bank drafting customer’s utility bills. No information contained on this form will be made available to other sources, other than the Town’s banking institution, unless the Town of Prosper receives a written and signed notice from the customer.

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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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