As a convenience to me, I hereby request and authorize you to pay and charge to my account drafts drawn on my account by and payable to Jxn Water of Jackson, Mississippi, not to exceed a maximum amount of $___________(please see next step). Please Note: If a maximum amount is entered, and your bill exceeds this amount at any time, you are responsible for the difference.
I agree that your rights in respect to each draft shall be the same as if it were a check drawn up on you and signed personally by me. This authorization is to remain in effect until revoked by me in writing or revoked by JXN Water due to the maximum amount of NSF. I agree that you will be fully protected in honoring any such draft or check.
I hereby authorize payment of my water bills by draft from the above stated Service Address.
Jxn Water is requested to forward this authorization to you.
PO BOX 4505
JACKSON, MS 39216