Brigantine, MT · Atlantic County
Direct Debit ACH Payment Authorization
Brigantine residents use this form to authorize automatic tax or water and sewer payments from a checking or savings account.
What this form is
This form authorizes the City of Brigantine to debit a checking or savings account for property tax or water and sewer payments. Residents complete it when signing up for the Direct Debit Payment Plan and provide their account details, contact information, and signature. It also includes an option for email or text reminders and asks for a voided check or savings deposit ticket.
Who needs it
Residents who want the city to automatically debit their account for property taxes or water and sewer payments should complete this form.
How to submit it
Mail the completed form to the City of Brigantine Tax Collector, 1417 W Brigantine Ave., Brigantine, NJ 08203. Attach a voided check or savings deposit ticket; include a listing of block and lot numbers for additional properties.
About notarization
This form is signed without a notary; attach a voided check or savings deposit ticket, and a listing of block and lot numbers for any additional properties.
How to submit this form
- 1
Download The Form
Download the Brigantine Direct Debit ACH Payment Authorization form.
- 2
Complete The Form
Choose tax or water and sewer payments, enter the requested payment and account details, and sign the authorization.
- 3
Gather Attachments
Attach a copy of a voided check or savings deposit ticket. For additional properties, attach a listing of block and lot numbers.
- 4
Mail It To The City
Mail the completed form and attachments to the City of Brigantine Tax Collector at the address printed on the form.
Frequently asked questions
- Do I need a notary for the ACH payment authorization?
- No. The form provides signature lines but no notary block. Attach a voided check or savings deposit ticket, and list block and lot numbers for additional properties.
- How do I submit the ACH payment authorization?
- Mail the completed form to the City of Brigantine Tax Collector at 1417 W Brigantine Ave., Brigantine, NJ 08203. Include a voided check or savings deposit ticket.
- What payments can I authorize with this form?
- The form lets you authorize automatic debits for a property tax bill or a water and sewer bill. It asks for the relevant property or account information.
- What information does the ACH form request?
- It requests your name, mailing address, payment details, bank and account information, phone and email contacts, reminder preferences, and an authorized signature.
Need something notarized?
This Direct Debit ACH Payment Authorization doesn’t need a notary — but if you have another Brigantine form that does, a commissioned online notary can help.