How do I submit the automatic payment authorization?

Sign and mail the form to the Town of Surf City, P.O. Box 2475, Surf City, NC 28445. The form says not to send it by email.

What information does the form ask for?

It asks for your Surf City address, email, printed name, daytime telephone number, utility account numbers, signature, and checking account and financial institution details.

When must the bank draft information arrive?

The form says bank draft information must be received by the 21st for a draft on the 25th of the same month. It also notes that setup may take approximately one billing cycle.

Surf City, NC · Onslow County

No notary required

Authorization for Town of Surf City Automatic Payments

Surf City utility customers use this form to authorize monthly automatic payments from a checking account for one or more utility accounts.

What this form is

This form authorizes the Town of Surf City and the named bank to deduct monthly utility payments from a checking account. Customers provide their Surf City address, contact details, utility account numbers, bank information, and signature; the form says bank draft information must be received by the 21st for a draft on the 25th of that month.

Who needs it

Surf City utility customers who want monthly payments drafted from a checking account use this form to request automatic payment.

How to submit it

Sign and return the form to the Town of Surf City, P.O. Box 2475, Surf City, NC 28445. Do not send it by email; the form says bank draft information must be received by the 21st for a draft on the 25th.

About notarization

This document is signed without a notary; the signer just signs and dates the authorization.

How to submit this form

1
Download The Form
Download the Town of Surf City automatic payment authorization form.
2
Complete The Form
Enter your contact and utility account information, then provide your financial institution and checking account details.
3
Gather Optional Bank Confirmation
The form encourages including a void check or bank printout to confirm account information, but says it is not required.
4
Sign And Mail The Form
Sign and date the form, then mail it to the Town of Surf City address shown on the form. Do not send it by email.

Frequently asked questions

Do I need a notary for the automatic payment authorization?: No. This document is signed without a notary; the signer just signs and dates the authorization.
How do I submit the automatic payment authorization?: Sign and mail the form to the Town of Surf City, P.O. Box 2475, Surf City, NC 28445. The form says not to send it by email.
What information does the form ask for?: It asks for your Surf City address, email, printed name, daytime telephone number, utility account numbers, signature, and checking account and financial institution details.
When must the bank draft information arrive?: The form says bank draft information must be received by the 21st for a draft on the 25th of the same month. It also notes that setup may take approximately one billing cycle.

Need something notarized?

This Authorization for Town of Surf City Automatic Payments doesn’t need a notary — but if you have another Surf City form that does, a commissioned online notary can help.