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2. To discontinue a utility payment bank/credit card draft, complete the following form. Please allow up to ten (10) business days for completion of request once received by the City of Goodlettsville.
4. Name on Account
6. First Name*
7. Last Name*
9. Email*
11. Service Address
13. Address1*
15. Address2
17. City*
18. State*
19. Zip*
21. Discontinue bank/credit card draft ending in XXXX*
23. Utility Account Number*
24. Telephone*
25. Driver's License*

    Upload applicant's driver's license

27. This request is to be effective:*
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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