Tryon, NC · Polk County

No notary required

Direct Debit of Water Charges

Tryon water customers use this form to authorize monthly water bill payments by direct debit from a checking or savings account.

What this form is

This form authorizes the Town of Tryon to debit monthly water charges from a customer’s checking or savings account. It asks for bank and account details, utility account information, contact details, a date, and a signature. The form says customers should provide a voided check and that the authorization remains in effect until the customer gives written notice of termination.

Who needs it

Tryon water customers who want their monthly charges debited automatically 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 authorization is signed and dated without a notary; the form also asks for a voided check, with no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Direct Debit of Water Charges form.

  2. 2

    Complete The Authorization

    Select checking or savings and fill in the requested bank, account, utility, and contact information.

  3. 3

    Gather The Attachment

    Provide a voided check, as requested on the form.

  4. 4

    Sign And Submit

    Date and sign the authorization, then submit it to the city department named on the form.

Frequently asked questions

Who uses the Direct Debit of Water Charges form?
Tryon water customers use it to authorize automatic monthly withdrawals from a checking or savings account for their water charges.
What should I include with the form?
The form asks you to provide a voided check along with your bank, account, utility, and contact information.
Do I need a notary for the Direct Debit of Water Charges form?
No. Sign and date the authorization without a notary. The form asks for a voided check, but does not identify any notarized or sworn attachment.
How do I submit the Direct Debit of Water Charges form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Direct Debit of Water Charges doesn’t need a notary — but if you have another Tryon form that does, a commissioned online notary can help.