Fox Lake, IL · Lake County
Automatic Payment Plan Authorization Agreement
Fox Lake utility customers use this application to authorize automatic payments from a checking or savings account for water, sewer, or garbage bills.
What this form is
This application enrolls a Fox Lake utility customer in Auto Pay, which authorizes the Village to withdraw payments from a checking or savings account. Complete it to set up automatic bill payments; the form asks for customer and service address details, a water account number, bank information, account type, signature, and date. Include a voided check or a copy of a check.
Who needs it
Fox Lake customers who want to pay water, sewer, or garbage bills automatically from a checking or savings account should complete this application.
How to submit it
Enclose a voided check or a copy of a check and mail the form to Village of Fox Lake, 66 Thillen Drive, Fox Lake, IL 60020-1525, or email it to [email protected].
About notarization
This document is signed and dated without a notary; the required voided check or check copy is an attachment, and the signer just signs and dates the form.
How to submit this form
- 1
Download The Application
Download the Automatic Payment Plan Authorization Agreement.
- 2
Complete The Form
Enter customer, service address, water account, and bank details; select checking or savings, then sign and date.
- 3
Gather The Attachment
Include a voided check or a copy of a check showing the account to be debited; do not send a deposit ticket.
- 4
Submit To The Village
Mail the application and check attachment to the Village address on the form, or email it to the address listed there.
Frequently asked questions
- What bills can I pay with this Auto Pay application?
- The form describes automatic payments for Fox Lake water, sewer, or garbage bills, withdrawn from a checking or savings account.
- What should I include with the application?
- Include a voided check or a copy of a check showing the account to be debited. The document says not to send a deposit ticket.
- Do I need a notary for the Auto Pay application?
- No. Sign and date the form; the document does not require notarization. Include the requested voided check or check copy.
- How do I submit the Auto Pay application?
- Mail it with the required check attachment to Village of Fox Lake, 66 Thillen Drive, Fox Lake, IL 60020-1525, or email it to [email protected].
Need something notarized?
This Automatic Payment Plan Authorization Agreement doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.