Past Due Account Payment Agreement Sample Contracts

PAST DUE ACCOUNT PAYMENT AGREEMENT FORM
Past Due Account Payment Agreement • October 14th, 2021

If you are unable to pay the past due utility bill in full by the due date, please complete this form and return it to City of Kimball. All past due amounts must be paid in full prior to the next billing date unless otherwise approved by the City Administrator or Interim Administrator.

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