Rush Notary

Howard City, MI · Montcalm County

No notary required

Automatic Payment (ACH Debit) Authorization Agreement

Howard City residents use this agreement to authorize monthly automatic debits from a checking or savings account.

What this form is

This agreement authorizes the Village of Howard City to debit a checking or savings account for automatic payments, transferred on the 20th of each month. It asks for financial institution and account details, contact information, and a signature and date. Attach a voided check or deposit ticket and return the completed form to the Clerk’s Office.

Who needs it

Residents who want to authorize automatic payments from a checking or savings account use this agreement.

How to submit it

Staple a voided check or deposit ticket to the completed form and return it to the Clerk’s Office, Village of Howard City, 125 E Shaw, PO Box 510, Howard City, MI 49329.

About notarization

This document is signed without a notary; the signer just signs and dates it, and attaches a voided check or deposit ticket.

How to submit this form

  1. 1

    Download The Agreement

    Download the Automatic Payment (ACH Debit) Authorization Agreement.

  2. 2

    Complete The Form

    Enter your financial institution, routing and account numbers, account type, contact details, and name.

  3. 3

    Sign And Attach A Check

    Sign and date the agreement, then staple a voided check or deposit ticket to it.

  4. 4

    Return It To The Clerk

    Return the completed form and attachment to the Howard City Clerk’s Office at the address listed on the form.

Frequently asked questions

Do I need a notary for the ACH Debit Authorization Agreement?
No. The agreement requires a signature and date, not a notary. Attach a voided check or deposit ticket.
How do I submit the ACH Debit Authorization Agreement?
Staple a voided check or deposit ticket to the completed form and return it to the Clerk’s Office at 125 E Shaw, PO Box 510, Howard City, MI 49329.
When will the automatic payment be transferred?
The agreement states that payment will be transferred from your account on the 20th of each month.

Need something notarized?

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