Modify / Cancel Lucas County TIPP, ACHM or ACH2 Agreement
I herewith give notice to the Lucas County Treasurer's Office that
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I wish to change my bank account information and am attaching a new voided check or bank account information.
I wish to cancel the TIPP (monthly vouchers) agreement
I wish to cancel the automatic withdrawals and the ACHM or ACH2 agreement.
Name
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First Name
Last Name
E-mail
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Phone Number
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Your Mailing Address
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Street Address
City
State
Zip Code
The changes or cancelation apply to the following Parcel Number(s)
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Upload a voided check or savings account statement. The document must be issued by your financial institution. Hand-written instructions will not be accepted.
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Upload a File
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Choose a file
Cancel
of
What type of bank account is this?
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Checking
Savings
Signature
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Submit
Submit
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