Marshall County REMC

Automatic Payment Plan Form

Please print and fill out the following form to authorize your account for our Automatic Payment Plan. Once the form is completed, please see additional instructions below.

Name:_____________________
(As it appears on your bill)

Address:__________________

City:_____________________

State:______Zip___________

Phone:____________________

REMC Account Number (or numbers):

Account 1________________

Account 2________________

Account 3________________

Account 4________________

Financial Institution:_________________

Bank Acct. #:_________________

Account Type:

checking
savings

I authorize Marshall County REMC to draw monthly bank drafts on my account shown above for the payment of my monthly electric bill. I understand that I can discontinue my participation in the APP by notifying Marshall County REMC in writing. Both Marshall County REMC and my financial institution may also terminate this agreement with ten (10) days written notice. I understand that Marshall County REMC reserves the right to limit participation in the APP to customers whose accounts are in good standing.

Signature___________________
Date________________________

How to Use this Form

The Automatic Payment Plan is a service that draws funds from your checking or savings account automatically to pay your monthly electric bill. It has become a very popular way of making routine payments of all kinds, and we are pleased to be able to offer it to our members.

Your payment is made automatically each month. This is available to any customer, including those enrolled in the budget billing plan. There is no charge for this service from Marshall County REMC or your financial institution.

Once you are enrolled in the APP, you will receive a bill each month that includes the same information you now receive about usage and amount owed, but it will also say:

Bank draft do not pay.

We will then withdraw payments from your account one to three days prior to the due date shown on your bill. All you have to do is remember to deduct the correct amount from your check book register.

If you are interested in the APP, print out the authorization form at the top of this page, fill it out, and attach a check marked "VOID" or include a deposit slip from your bank account.

Mail these items to:

Marshall County REMC
P.O. Box 250
Plymouth, IN 46563

The enrollment process may take approximately two billing cycles to complete. Your bill will clearly indicate when the Automatic Payment Plan has been activated.

If you have questions about the APP, contact the office at (574) 936-3161.