Reese, MI · Tuscola County

No notary required

Authorization for Automatic Bill Payment Withdrawal

Utility customers use this authorization to let the Village of Reese withdraw bill payments from a checking or savings account.

What this form is

This authorization lets utility customers ask the Village of Reese to withdraw the total amount due on their utility bill from a listed checking or savings account. The form states that payment is due by the 10th of the month and that a $50 NSF fee applies if funds are insufficient. It asks for financial institution, utility account, account holder, contact, and bank account details.

Who needs it

A utility customer who wants to authorize automatic bill withdrawals from a checking or savings account should complete this form.

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 document is signed without a notary; the signer just signs and dates the authorization.

How to submit this form

  1. 1

    Download The Authorization

    Download the automatic bill payment withdrawal authorization.

  2. 2

    Complete The Form

    Enter the financial institution, utility account, authorizing party, and bank account information requested.

  3. 3

    Sign And Date

    The authorizing party signs and dates the authorization.

  4. 4

    Submit To The City

    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 automatic bill payment authorization?
No. This document is signed without a notary; the authorizing party signs and dates the authorization.
How do I submit the automatic bill payment authorization?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the authorization ask for?
It asks for financial institution and branch details, utility account number, service address, authorizing party contact information, signature and date, routing number, and checking or savings account number.
When are automatic utility bill withdrawals made?
The form authorizes withdrawals for the total amount due on the utility bill, payable in the month due by the 10th of that month. It also states a $50 NSF fee applies if funds are insufficient.

Need something notarized?

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