Peru, IL · LaSalle County
Auto Draft Authorization for Utility Bill Direct Withdrawal Pay
Peru utility customers use this authorization form to request monthly direct withdrawals from a checking account for their city utility bill.
What this form is
This form authorizes the City of Peru to withdraw the amount due on a utility bill from the signer’s checking account each month on the bill’s due date. To set up auto draft, the customer provides the utility account number, account name, service address, signature, and date, and attaches a voided check for the active account.
Who needs it
A City of Peru utility customer who wants monthly bill payments withdrawn directly from a checking account needs this form.
How to submit it
Return the completed form and attached voided check by mail to PO Box 299, Peru, IL 61354, or email it to [email protected].
About notarization
This document is signed and dated without a notary; attach a voided check for the active checking account.
How to submit this form
- 1
Download The Form
Download the City of Peru auto draft authorization form.
- 2
Complete And Sign
Provide the utility account number, account name, and service address, then sign and date the authorization.
- 3
Attach A Voided Check
Attach a check marked void for the active checking account you want debited.
- 4
Submit To The City
Mail the form and voided check to PO Box 299, Peru, IL 61354, or email them to [email protected].
Frequently asked questions
- Do I need a notary for the Peru auto draft authorization?
- No. Sign and date the form without a notary, and attach a voided check for the active checking account.
- How do I submit the auto draft authorization?
- Return the form and a voided check by mail to PO Box 299, Peru, IL 61354, or email them to [email protected].
- What information does the form ask for?
- It asks for the utility account number, account name, service address, signature, and date.
- Can I stop the automatic withdrawals?
- The form says you may terminate the arrangement at any time in writing or by phone to the city or its staff.