Rush Notary

Lincolnton, GA · Lincoln County

No notary required

Automatic Draft Enrollment Form

Lincolnton utility customers use this form to authorize automatic monthly payments from a bank checking account for their utility service bill.

What this form is

This form authorizes the City of Lincolnton to debit a customer's bank account for the monthly utility bill. It asks for account and service details, contact information, and bank account information, and explains that the authorization continues until the customer gives written notice to stop it. The form requires a voided check from an active checking account and describes how to report changes to bank information.

Who needs it

A Lincolnton utility customer who wants monthly bills paid automatically from a bank checking account should complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists City Hall's address and phone number.

About notarization

This form is signed and dated without a notary; attach a voided check from the active bank checking account.

How to submit this form

  1. 1

    Download The Form

    Download the Automatic Draft Enrollment Form.

  2. 2

    Complete The Form

    Enter your utility account, service, contact, and bank account details, then sign and date the authorization.

  3. 3

    Gather The Attachment

    Attach a voided check from your active bank checking account.

  4. 4

    Submit To The City

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Automatic Draft Enrollment Form?
No. The form is signed and dated without a notary. You must attach a voided check from your active bank checking account.
Who uses the Automatic Draft Enrollment Form?
A City of Lincolnton utility customer uses it to authorize automatic monthly payment of a utility service bill from a bank account.
What should I attach to the form?
Attach a voided check from your active bank checking account. The form says it should provide current and correct bank account information.
How do I submit the Automatic Draft Enrollment Form?
Submit it to the city department named on the form and check the city website for current contact details. The form lists City Hall's address and phone number.

Need something notarized?

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