Sparta, MI · Kent County
Authorization Agreement for ACH Payment
This form lets account owners authorize the Village of Sparta to debit a checking or savings account for bill payments.
What this form is
Use this agreement to authorize the Village of Sparta to debit a checking or savings account for payments; withdrawals take place on bill due dates. The form asks for account owner and contact details, bank information, account type, and signatures. Attach a voided check and return the completed form to the Village office; the document says there is no charge for this service.
Who needs it
Account owners who choose to pay bills through ACH and authorize withdrawals from a checking or savings account need this form.
How to submit it
Complete and return the form to the Village of Sparta office. The document says there is no charge for this service.
About notarization
This document is signed and dated without a notary; attach a voided check, which the form does not say must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Authorization Agreement for ACH Payment.
- 2
Complete The Form
Provide the requested account owner, contact, bank, routing, and account details; select checking or savings and sign and date.
- 3
Gather The Attachment
Attach a voided check as requested on the form.
- 4
Return The Form
Return the completed form to the Village of Sparta office.
Frequently asked questions
- Do I need a notary for the ACH payment authorization?
- No. The form asks account owners to sign and date it, and it does not require notarization. Attach a voided check; the form does not say it must be notarized or sworn.
- How do I submit the ACH payment authorization?
- Complete the form and return it to the Village of Sparta office. The form does not provide an office address or other submission method.
- What should I attach to the form?
- Attach a voided check, as requested on the form. It also asks for bank, routing, and account information.
- When are ACH withdrawals made?
- The form states that withdrawals will take place on the date bills are due.
