AUTHORIZATION FOR DIRECT WITHDRAWAL FOR PROPERTY TAX PAYMENT
Please verify all information entered is accurate.
I, the undersigned (hereby referred as "Taxpayer"), as well as the U.S. financial institution named below, authorize the Island County Treasurer to withdraw from my account listed below and to release the account information herein. The withdrawals shall be made from the taxpayer's account on April 25 (for full or 1st half payment) and October 25 (for 2nd half payment), or on the next business day should these dates fall on a weekend. This authority will remain in effect until the taxpayer has given written notice to Island County, no less than thirty (30) days before the payment will be deducted. The taxpayer understands if payment is not honored by the financial institution, a $40 service fee as well as any applicable penalty and interest will be assessed onto the taxpayer's property account. In addition, the AutoPay program will be canceled. The taxpayer has read the disclaimer and accepted its conditions.
By electronically entering my name below, I signify that I am providing the equivalent of my handwritten signature in the “Authorized Signature 1 and/or 2” spaces above and that it provides equivalent authority to exercise my instructions on this form.