What information does the Bank Draft Payment Authorization request?

The form asks for the service address, name on the account, account number, start date, bank name, bank account number, date, and authorized customer signature.

When are utility bill drafts processed?

The form states that drafts are processed on the 17th of each month. Continue using normal payment methods until the bill says “DO NOT PAY — PAID BY DRAFT.”

Andersonville, GA · Sumter County

No notary required

Bank Draft Payment Authorization

This form lets City of Andersonville utility customers authorize monthly drafts from their bank account to pay utility bill charges.

What this form is

This form authorizes the City of Andersonville to draft monthly utility bill charges from the customer’s bank account. Customers complete it to start automatic payments and include a voided check; the form requests service address, account and bank details, start date, and signature. Drafts are processed on the 17th, and customers must keep using normal payment methods until their bill says it is paid by draft.

Who needs it

City of Andersonville utility customers who want to pay monthly utility bill charges by bank draft should complete and submit this form.

How to submit it

Mail the completed form to City of Andersonville, P.O. Box 35, Andersonville, GA 31711, or drop it off at City Hall, 114 Church St. Include a voided check.

About notarization

This document is signed and dated without a notary; include a voided check, and the signer just signs and dates the authorization.

How to submit this form

1
Download The Form
Download the Bank Draft Payment Authorization PDF.
2
Complete The Form
Enter the service address, account and bank details, start date, and date, then sign the authorization.
3
Gather The Attachment
Include a voided check with the completed form.
4
Submit To The City
Mail the form to the City of Andersonville or drop it off at City Hall.

Frequently asked questions

Do I need a notary for the Bank Draft Payment Authorization?: No. The authorization is signed and dated without a notary. Include a voided check with the completed form.
How do I submit the Bank Draft Payment Authorization?: Mail the completed form and a voided check to City of Andersonville, P.O. Box 35, Andersonville, GA 31711, or drop them off at City Hall, 114 Church St.
What information does the Bank Draft Payment Authorization request?: The form asks for the service address, name on the account, account number, start date, bank name, bank account number, date, and authorized customer signature.
When are utility bill drafts processed?: The form states that drafts are processed on the 17th of each month. Continue using normal payment methods until the bill says “DO NOT PAY — PAID BY DRAFT.”

Need something notarized?

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