Do I need a notary for the Bank Draft Termination Form?

No. The account holder signs and dates the form to certify the account information and authorize termination; no notary block is included.

How do I submit the Bank Draft Termination Form?

Turn it in at City Hall, 302 South Columbia Ave., Rincon, GA 31326. The form says to turn it in by the 9th of the month for termination before the next payment.

When will automatic drafts stop?

The form says information must be turned in by the 9th of the month to be terminated for the next payment. If submitted later, it will not stop the current bill due at month-end.

Rincon, GA · Effingham County

No notary required

Bank Draft Termination Form

Utility account holders use this form to authorize the City of Rincon to stop automatic bank drafts for a specified utility account.

What this form is

This form lets a utility account holder authorize the City of Rincon to terminate automatic drafts for the listed account. It requests the utility account name and number, bank routing and account numbers, and the account holder’s printed name, signature, and date. The form says to turn it in by the 9th of the month for termination before the next payment.

Who needs it

A City of Rincon utility account holder who wants to stop automatic bank drafts for their utility account needs this form.

How to submit it

Turn in the form by the 9th of the month for termination before the next payment. The form lists City Hall at 302 South Columbia Ave., Rincon, GA 31326.

About notarization

This document is signed and dated without a notary; the account holder certifies the account information and authorizes termination by signing.

How to submit this form

1
Download the Form
Download the City of Rincon Bank Draft Termination Form.
2
Complete the Account Details
Enter the utility account name and number, bank routing and account numbers, and your printed name.
3
Sign and Date
Sign and date the form to authorize termination of automatic drafts for the listed utility account.
4
Turn In the Form
Turn it in at City Hall by the 9th of the month for termination before the next payment.

Frequently asked questions

Do I need a notary for the Bank Draft Termination Form?: No. The account holder signs and dates the form to certify the account information and authorize termination; no notary block is included.
How do I submit the Bank Draft Termination Form?: Turn it in at City Hall, 302 South Columbia Ave., Rincon, GA 31326. The form says to turn it in by the 9th of the month for termination before the next payment.
What information does the form ask for?: It asks for the utility account name and number, bank routing and account numbers, and the account holder’s printed name, signature, and date.
When will automatic drafts stop?: The form says information must be turned in by the 9th of the month to be terminated for the next payment. If submitted later, it will not stop the current bill due at month-end.

Need something notarized?

This Bank Draft Termination Form doesn’t need a notary — but if you have another Rincon form that does, a commissioned online notary can help.