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Paula L. Wright, County Treasurer 225 West Main Street, Room 107 Gaylord, Michigan 49735 Phone (989)731-7560 ▪ Fax (989)731-7569 AUTHORIZATION AGREEMENT FOR DIRECT DEBIT OF DELINQUENT (2024 AND PRIOR) TAX PAYMENTS Instructions This document must be signed by taxpayers requesting automatic debit of payments and retained on file by Otsego County. Please return by mail, in person, or email Parcel Authorization I (taxpayer) hereby authorize Otsego County to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries in error to our: [ ] Checking Account [ ] Savings Account Indicated below and the financial institution below to debit and/or credit the same to such account. I (we) acknowledge that the origination of ACH transactions to our account must comply with the provisions of U.S. law. Depository Name: City: State: Zip: Routing/Transit/ABA Number: Account Number: Frequency: [ ] Weekly-every Friday (if our office is closed on Friday, it will be the following Monday). Payment [ ] Bi-Weekly-every other Friday (if our office is closed on Friday, it will be the following Monday). Payment [ ] (circle one) – First / Second / Third / Last Friday of the month Friday (if our office is closed on Friday, it will be the following Monday). Payment Start Date: This authority is to remain in full force and effect until Otsego County has received written notification from taxpayer of its termination in such time and in such manner as to afford Otsego County a reasonable opportunity to act on it. Taxpayer Signature: Phone Printed Name/Title: Date: *For more information on current and delinquent taxes please visit our updated website www.otsegocountymi.gov