Mount Airy, GA · Habersham County
Bank Draft Authorization
This authorization lets a Town of Mount Airy customer request monthly bank drafts for water, garbage, and fire protection charges.
What this form is
The form authorizes the Town of Mount Airy to deduct monthly water, garbage, and fire protection charges from the signer’s bank account by bank draft. It asks for the bank name, account number, routing number, signature, and date, and requests an attached voided check. The form also includes spaces for the account number and office use.
Who needs it
A Town of Mount Airy customer who wants monthly water, garbage, and fire protection charges deducted from a bank account by bank draft needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This authorization is signed and dated without a notary; attach a voided check as requested.
How to submit this form
- 1
Download The Form
Download the Bank Draft Authorization for Mount Airy.
- 2
Complete The Authorization
Enter the bank name, account number, and routing number, then sign and date the form.
- 3
Attach A Voided Check
Include the voided check requested on the form.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What charges does this bank draft authorization cover?
- The form authorizes monthly bank drafts for water, garbage, and fire protection charges.
- What information and attachment does the form request?
- It asks for the bank name, account number, routing number, signature, and date. It also requests an attached voided check.
- Do I need a notary for the Bank Draft Authorization?
- No. The authorization is signed and dated without a notary. Attach a voided check as requested.
- How do I submit the Bank Draft Authorization?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Bank Draft Authorization doesn’t need a notary — but if you have another Mount Airy form that does, a commissioned online notary can help.