Lewistown, MT · Fergus County
ACH Debit Termination
Lewistown utility customers use this form to stop the city from debiting a bank account for payment of a utility bill.
What this form is
Use this form to tell the City of Lewistown you no longer want it to debit your bank account to pay the listed utility bill. It asks for utility account and contact details, service address, bank information, an effective date, and signatures from the utility accountholder and, if different, the bank accountholder.
Who needs it
A utility accountholder who wants to stop City of Lewistown debits from a bank account for the utility account listed on the 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 utility accountholder and, if different, the bank accountholder sign and date it.
How to submit this form
- 1
Download The Form
Download the ACH Debit Termination form.
- 2
Complete The Form
Enter the utility account, contact, service address, bank information, and effective date.
- 3
Sign And Date
The utility accountholder signs and dates the form; a different bank accountholder also signs and dates it.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the ACH Debit Termination form do?
- It tells the City of Lewistown you no longer want it to debit your bank account to pay the utility bill for the account listed.
- What information does the form ask for?
- It requests utility account and contact details, service address, bank information, an effective date, and signatures from the utility accountholder and, if different, the bank accountholder.
- Do I need a notary for the ACH Debit Termination form?
- No. The utility accountholder and, if different, the bank accountholder sign and date the form; it does not call for a notary.
- How do I submit the ACH Debit Termination form?
- Submit it to the city department named on the form; check the city website for current contact details.