Brigantine, MT · Atlantic County

No notary required

Direct ACH Payment Authorization and Text/Email Reminder Notice

Brigantine residents use this form to authorize automatic tax or water and sewer payments and request text or email reminders.

What this form is

This form lets residents authorize the City of Brigantine to debit a checking account for property taxes or water and sewer bills, or to sign up for reminder notifications only. It asks for account, property or water and sewer details, banking information, contact details, and signatures. The form requests a copy of a voided check, and additional properties require a listing of block and lot numbers.

Who needs it

Brigantine residents who want automatic tax or water and sewer payments, or reminder notifications, should complete this form.

How to submit it

Mail the completed form and a copy of a voided check to the City of Brigantine Tax Collector, 1417 W Brigantine Ave., Brigantine, NJ 08203.

About notarization

This form is signed without a notary; attach a voided check and, for additional properties, a listing of block and lot numbers.

How to submit this form

  1. 1

    Download The Form

    Download the Direct ACH Payment Authorization Form.

  2. 2

    Complete The Form

    Select tax, water and sewer, or reminder notifications, then provide the requested account, banking, property, and contact information.

  3. 3

    Gather Attachments

    Attach a copy of a voided check. For additional properties, attach a listing of block and lot numbers.

  4. 4

    Mail The Form

    Mail the completed form and attachments to the City of Brigantine Tax Collector at the address shown on the form.

Frequently asked questions

What does the Direct ACH Payment Authorization Form do?
It authorizes the City of Brigantine to debit a checking account for property tax or water and sewer payments, or lets residents request reminder notifications only.
What should I include with the form?
Attach a copy of a voided check. If you want to pay for additional properties, also attach a listing of their block and lot numbers.
Do I need a notary for the Direct ACH Payment Authorization Form?
No. The form is signed without a notary. Attach a voided check, and include a listing of block and lot numbers for additional properties.
How do I submit the Direct ACH Payment Authorization Form?
Mail the completed form and a copy of a voided check to the City of Brigantine Tax Collector, 1417 W Brigantine Ave., Brigantine, NJ 08203.

Need something notarized?

This Direct ACH Payment Authorization and Text/Email Reminder Notice doesn’t need a notary — but if you have another Brigantine form that does, a commissioned online notary can help.