Do I need a notary for the Automatic Utility Bill Pay Application?

No. Sign and date the application without a notary. Attach a voided check; the document does not require a notarized or sworn attachment.

What information does the application ask for?

It asks for financial institution and bank account details, customer name and contact information, a signature and date, and City account numbers and service addresses.

When is the automatic payment deducted?

The document says the utility bill payment is automatically deducted on the 20th of each month. It advises customers to keep paying as usual until notified in writing that the application process is complete.

Patterson, CA · Stanislaus County

No notary required

Automatic Utility Bill Pay Application

Patterson utility customers use this application to authorize automatic monthly deductions from a bank account for their City utility bill payments.

What this form is

This application authorizes the City of Patterson and the customer’s financial institution to debit a bank account for utility bills. Customers complete it to request automatic payment, which the document says is deducted on the 20th of each month. It asks for bank and account details, customer contact information, a signature and date, and the City account numbers and service addresses to be paid.

Who needs it

Patterson utility customers who want their bills automatically deducted from a bank account complete and return this application.

How to submit it

Attach a voided check and return the completed application to City of Patterson, Utilities, P.O. Box 667, Patterson, CA 95363. Keep a copy for your records.

About notarization

This application is signed and dated without a notary; attach a voided check, but the document does not require any notarized or sworn attachment.

How to submit this form

1
Download The Application
Download the Automatic Utility Bill Pay Application PDF.
2
Complete The Application
Fill in the bank, customer, and utility account information, then sign and date the form.
3
Attach A Voided Check
Include a voided check with the application.
4
Submit To The City
Return the application to City of Patterson, Utilities, P.O. Box 667, Patterson, CA 95363, and keep a copy.

Frequently asked questions

Do I need a notary for the Automatic Utility Bill Pay Application?: No. Sign and date the application without a notary. Attach a voided check; the document does not require a notarized or sworn attachment.
How do I submit the Automatic Utility Bill Pay Application?: Attach a voided check and return the completed application to City of Patterson, Utilities, P.O. Box 667, Patterson, CA 95363. Keep a copy for your records.
What information does the application ask for?: It asks for financial institution and bank account details, customer name and contact information, a signature and date, and City account numbers and service addresses.
When is the automatic payment deducted?: The document says the utility bill payment is automatically deducted on the 20th of each month. It advises customers to keep paying as usual until notified in writing that the application process is complete.

Need something notarized?

This Automatic Utility Bill Pay Application doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.