Goodfield, IL · Woodford County
Application for Direct Debit of Funds
Goodfield utility account holders use this application to authorize monthly debit payments from a checking or savings account.
What this form is
This application lets a Goodfield utility account holder authorize the Village to debit the full monthly utility bill from a bank account. It asks for utility, customer, and bank details, and requires a cancelled check; savings account applicants must provide additional account information. The signer agrees to the stated debit and payment terms and provides a dated signature.
Who needs it
A Goodfield utility account holder who wants to pay monthly bills by direct debit from a checking or savings account should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; attach a cancelled check, and no sworn or notarized attachment is mentioned.
How to submit this form
- 1
Download The Application
Download the Application for Direct Debit of Funds for Goodfield utility account billing.
- 2
Complete The Application
Enter the requested utility, account, and bank details, answer the security question, and sign and date the application.
- 3
Gather The Attachment
Staple a cancelled check to the application. Savings account applicants should provide the additional information requested.
- 4
Submit To The Village
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Goodfield direct debit application?
- No. The application is signed and dated without a notary. Attach a cancelled check; the form does not mention any sworn or notarized attachment.
- Who can use this application?
- A Goodfield utility account holder can use it to authorize monthly debits from a checking or savings account.
- What should I include with the application?
- Staple a cancelled check to the application. For a savings account, also provide the additional account and routing information requested on the form.
- How do I submit the direct debit application?
- Submit it to the city department named on the form; check the city website for current contact details.