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Cancellation Form Direct Debit Payment
Please allow time to process your request. If your request occurs several days before your utility bill is processed, your cancellation will be effective with your
next utility billing.
As it appears on your statement.
Please return to:
Village of Palos Park
8999 W 123rd Street
Palos Park, IL 60464
You may also fax to: 708-448-9542.
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