Do I need a notary for the Direct Debit Authorization?

No. The form asks the account holder to sign and date it, then return it with a voided check; it does not indicate that either item needs notarization.

How do I submit the Direct Debit Authorization?

Return the signed form and a voided check to the City of Byron at P.O. Box 916, Byron, IL 61010-0916.

What information does the form ask for?

It asks for the account holder's name and address, telephone and email, bank name and telephone, routing and account numbers, account type, and the account holder's signature and date.

When are direct debits processed?

The form says the debit is processed monthly on the 15th, or on the Friday before when the 15th falls on a weekend. It also states that a $15.00 NSF fee applies if funds are insufficient.

Byron, IL · Ogle County

No notary required

Direct Debit Authorization for Water Bill Payment

Byron utility customers use this form to authorize monthly withdrawals from a checking or savings account for payment of their water and sewer bill.

What this form is

This form authorizes the City of Byron to withdraw monthly utility payments from the account provided. The signer supplies account and contact information, selects checking or savings, and signs and dates the authorization. Return the signed form with a voided check; the form states that debits are processed on the 15th or the Friday before if the 15th falls on a weekend, and that a $15.00 NSF fee applies for insufficient funds.

Who needs it

Byron utility customers who want to pay their monthly water and sewer bill by direct debit from a checking or savings account need this form.

How to submit it

Return the signed form and a voided check to the City of Byron, P.O. Box 916, Byron, IL 61010-0916.

About notarization

This document is signed and dated without a notary; it requests a voided check as an attachment, and no notarized attachment or sworn step is indicated.

How to submit this form

1
Download The Form
Download the Direct Debit Authorization for Water Bill Payment.
2
Complete The Form
Enter the requested account and contact details, select checking or savings, and sign and date the authorization.
3
Gather The Attachment
Include a voided check with the signed form.
4
Submit To The City
Return both items to the City of Byron, P.O. Box 916, Byron, IL 61010-0916.

Frequently asked questions

Do I need a notary for the Direct Debit Authorization?: No. The form asks the account holder to sign and date it, then return it with a voided check; it does not indicate that either item needs notarization.
How do I submit the Direct Debit Authorization?: Return the signed form and a voided check to the City of Byron at P.O. Box 916, Byron, IL 61010-0916.
What information does the form ask for?: It asks for the account holder's name and address, telephone and email, bank name and telephone, routing and account numbers, account type, and the account holder's signature and date.
When are direct debits processed?: The form says the debit is processed monthly on the 15th, or on the Friday before when the 15th falls on a weekend. It also states that a $15.00 NSF fee applies if funds are insufficient.

Need something notarized?

This Direct Debit Authorization for Water Bill Payment doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.