Do I need a notary for the Landis bank draft form?

No. The form is signed and dated without a notary. Attach a voided check; the form does not state any notarized or sworn step.

How do I submit the Landis bank draft form?

Present the completed form and a voided check to Utility Services at Town Hall, or email both to utility billing @townoflandisnc.gov.

What information does the bank draft form ask for?

It asks for your name, utility account and contact details, financial institution, routing and account numbers, and signature and date.

Landis, NC · Rowan County

No notary required

Enrollment and Authorization Form for Bank Draft

Utility customers use this form to start or stop automatic monthly bank-draft payments from a financial institution account.

What this form is

This form authorizes the Town of Landis to withdraw utility payments by bank draft, or lets customers request that drafts stop. The form says the account must have a zero-dollar balance before drafts can start, and drafts are processed on the 15th of each month. It asks for customer, utility account, contact, and bank details, along with a signature and a voided check.

Who needs it

Landis utility customers who want to start or stop automatic bank-draft payments complete and submit this form.

How to submit it

Present the completed form and a voided check to the Utility Services Department at Town Hall, or email both to utility billing @townoflandisnc.gov. To stop drafts, Utility Services must receive the form by the last business day of the month before the requested stop month.

About notarization

This form is signed and dated without a notary; the signer attaches a voided check, and no notarized or sworn step is stated.

How to submit this form

1
Download The Form
Download the Landis Enrollment and Authorization Form for Bank Draft.
2
Complete The Form
Choose start or stop, enter your utility and bank information, then sign and date the form.
3
Attach A Voided Check
Include a voided check with the completed form.
4
Submit To The Town
Deliver both items to Utility Services at Town Hall or email them to the address stated on the form.

Frequently asked questions

Do I need a notary for the Landis bank draft form?: No. The form is signed and dated without a notary. Attach a voided check; the form does not state any notarized or sworn step.
How do I submit the Landis bank draft form?: Present the completed form and a voided check to Utility Services at Town Hall, or email both to utility billing @townoflandisnc.gov.
What information does the bank draft form ask for?: It asks for your name, utility account and contact details, financial institution, routing and account numbers, and signature and date.
When must I request that bank drafts stop?: Utility Services must receive the form by the last business day of the month before the month you want drafts to stop.

Need something notarized?

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