Sparta, MI · Kent County

No notary required

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. 1

    Download The Form

    Download the Authorization Agreement for ACH Payment.

  2. 2

    Complete The Form

    Provide the requested account owner, contact, bank, routing, and account details; select checking or savings and sign and date.

  3. 3

    Gather The Attachment

    Attach a voided check as requested on the form.

  4. 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.

Need something notarized?

This Authorization Agreement for ACH Payment doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.