Dunn, NC · Harnett County

No notary required

Bank Draft Authorization Form

Dunn utility customers use this form to authorize the City of Dunn to draft payments for their utility bills from a checking or savings account.

What this form is

This form authorizes the City of Dunn to draw drafts from a designated checking or savings account to pay a city utility bill. The signer provides financial institution and account details, utility account information, and a signature and date. The form says the authorization remains in effect until written termination notice is received and processed, and requests a voided check with the completed form.

Who needs it

A City of Dunn utility accountholder who wants utility bill payments drafted from a checking or savings account should complete this form.

How to submit it

Mail the completed form and a voided check to the City of Dunn, Attn: Water Department, P.O. Box 1107, Dunn, NC 28335.

About notarization

This form is signed and dated without a notary; include a voided check, which the document does not say must be notarized.

How to submit this form

  1. 1

    Download The Form

    Download the Bank Draft Authorization Form.

  2. 2

    Complete The Form

    Provide your financial institution, account, and City of Dunn utility account information, then sign and date the form.

  3. 3

    Gather The Attachment

    Include a voided check with the completed form.

  4. 4

    Mail It To The City

    Mail both items to the City of Dunn, Attn: Water Department, P.O. Box 1107, Dunn, NC 28335.

Frequently asked questions

Do I need a notary for the Bank Draft Authorization Form?
No. The form has a signature and date line but no notary block. Include a voided check; the document does not say it must be notarized.
How do I submit the Bank Draft Authorization Form?
Mail the completed form and a voided check to the City of Dunn, Attn: Water Department, P.O. Box 1107, Dunn, NC 28335.
What information does the form ask for?
It asks for your financial institution and account details, utility account name and number, service address, phone number, and authorized signature and date.
What does the authorization allow the City of Dunn to do?
It authorizes the city to draw drafts against the listed account to pay your city utility bill. The authorization remains in effect until written termination notice is received and processed.

Need something notarized?

This Bank Draft Authorization Form doesn’t need a notary — but if you have another Dunn form that does, a commissioned online notary can help.