Butte, MT · Silver Bow County
Cancelation of Automatic Direct Payment
Water customers use this form to ask the Butte-Silver Bow Water Utility Division to cancel automatic debit payments from their account.
What this form is
This form lets a customer request cancellation of automatic debit payments for water services. It asks for the account number, service address, effective date, financial institution and branch, account and routing numbers, account type, customer name, and signature. The form says the division must receive it a stated number of days before the payment due date, but the number is blank on the document.
Who needs it
A water customer who wants the Butte-Silver Bow Water Utility Division to cancel automatic debit payments from an account should use 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 cancellation form is signed without a notary; it has no sworn attachment, and the customer just signs it.
How to submit this form
- 1
Download The Form
Download the automatic direct payment cancellation PDF.
- 2
Complete The Form
Enter the account and service details, effective date, financial institution information, account type, and customer name.
- 3
Sign The Form
Sign the form as the customer.
- 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 this automatic payment cancellation form?
- No. The form has no notary block or sworn attachment; the customer signs it without a notary.
- How do I submit the automatic payment cancellation form?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the cancellation form ask for?
- It asks for the water account number and service address, effective date, financial institution and branch, account and routing numbers, account type, customer name, and signature.
- When must the city receive this form?
- The form says it must be received a stated number of days before the payment due date, but the number of days is left blank on the document.
Need something notarized?
This Cancelation of Automatic Direct Payment doesn’t need a notary — but if you have another Butte form that does, a commissioned online notary can help.