Surf City, NC · Onslow County

No notary required

Authorization to Cancel Automatic Payment/Draft

Surf City utility customers use this form to request cancellation of automatic utility payments drafted from their bank account.

What this form is

This form lets a Surf City utility customer ask the Town to stop automatic drafts from a checking account. It asks for a utility account number, account holder name, service address, financial institution, final draft date, and a signature and date. The form says to mail the request four weeks before the final draft date and notes that information must match Town records.

Who needs it

A Surf City utility customer who wants to stop automatic drafts from a checking account uses this form.

How to submit it

Mail the completed request to the Town of Surf City four weeks before your final draft date; the form does not provide a mailing address.

About notarization

This form is signed and dated without a notary; no notarized or sworn attachment or related step is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Authorization to Cancel Automatic Payment/Draft form.

  2. 2

    Complete Account Details

    Provide at least one utility account number, account name, physical address, financial institution, and final draft date.

  3. 3

    Sign And Date

    Sign and date the request and provide a daytime phone number. No attachment is mentioned on the form.

  4. 4

    Mail The Request

    Mail the completed form to the Town of Surf City four weeks before the final draft date.

Frequently asked questions

Do I need a notary for the automatic payment cancellation form?
No. Sign and date this form without a notary; the document does not mention a notarized or sworn attachment or related step.
How do I submit the automatic payment cancellation form?
Mail the completed request to the Town of Surf City four weeks before your final draft date. The form does not list a mailing address.
What information does the form ask for?
It asks for at least one utility account number, the name on the account, physical address, financial institution, final draft date, signature, date, and daytime phone number.

Need something notarized?

This Authorization to Cancel Automatic Payment/Draft doesn’t need a notary — but if you have another Surf City form that does, a commissioned online notary can help.