Newfane, NY · Niagara County
Automatic Payment Option Form
Newfane water and sewer customers use this authorization form to arrange recurring bank debits for their billing.
What this form is
This form authorizes Town of Newfane Water/Sewer billing to debit a checking or savings account for payments and make debit or credit entries needed to correct errors. Customers provide their financial institution and account details, contact information, signature, and date. The form explains how the authorization continues and describes steps for stopping payment or disputing an erroneous debit.
Who needs it
Newfane water or sewer customers who want to authorize recurring payments from a checking or savings account need 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; it asks the account holder to sign and date the authorization, with no notarized attachment or related step mentioned.
How to submit this form
- 1
Download The Form
Download the Automatic Payment Option Form.
- 2
Complete The Authorization
Select checking or savings and enter the financial institution and account details requested.
- 3
Add Your Contact Details
Provide your name, address, and phone number, then sign and date the form.
- 4
Submit The Form
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 Payment Option Form?
- No. This authorization is signed and dated without a notary, and the form does not mention a notarized attachment or related step.
- How do I submit the Automatic Payment Option Form?
- Submit it to the city department named on the form; check the city website for current contact details.
- What account details does the form request?
- It asks for the financial institution name and location, transit or routing number, account number, and whether the account is checking or savings.
Need something notarized?
This Automatic Payment Option Form doesn’t need a notary — but if you have another Newfane form that does, a commissioned online notary can help.