How do I submit the Lake Lure ACH agreement?

Complete the agreement, include a voided, unsigned check or savings withdrawal slip, and send it to the Town of Lake Lure, PO Box 255, Lake Lure, NC 28746.

What account information does the ACH form request?

It asks for the financial institution’s name and address, account holder’s name and telephone number, transit routing number, account number, and monthly draft amount.

Can I use this form to change or stop automatic drafts?

Yes. The form includes options to update an existing authorization or cancel an authorization, in addition to starting a new one.

Lake Lure, NC · Rutherford County

No notary required

Authorization Agreement for Automatic Debit (ACH Draft)

This agreement lets Lake Lure utility customers authorize monthly bill payments by automatic debit from a checking or savings account.

What this form is

Use this agreement to start, update, or cancel automatic monthly drafts for a Lake Lure utility bill. To start the service, the form asks for customer and service information, financial institution and account details, and the monthly draft amount; it also requires a voided, unsigned check or savings withdrawal slip. The signer authorizes electronic debits and confirms the account information is correct.

Who needs it

Lake Lure utility customers who want to start, update, or cancel automatic monthly debit payments for their bill need this form.

How to submit it

Complete the agreement and include a voided, unsigned check or savings withdrawal slip. The form lists the Town of Lake Lure, PO Box 255, Lake Lure, NC 28746.

About notarization

This agreement is signed and dated without a notary; include the required voided, unsigned check or savings withdrawal slip, which the form does not say must be notarized.

How to submit this form

1
Download The Form
Download the Authorization Agreement for Automatic Debit (ACH Draft).
2
Complete The Agreement
Provide the requested customer, service, financial institution, and account information, then select new, update, or cancel authorization.
3
Gather The Required Attachment
Include a voided, unsigned check or a savings withdrawal slip with the completed agreement.
4
Send It To The Town
Send the agreement and attachment to the Town of Lake Lure, PO Box 255, Lake Lure, NC 28746.

Frequently asked questions

Do I need a notary for the Lake Lure ACH agreement?: No. The agreement has signature and date lines but no notary block. Include a voided, unsigned check or savings withdrawal slip; the form does not say that attachment must be notarized.
How do I submit the Lake Lure ACH agreement?: Complete the agreement, include a voided, unsigned check or savings withdrawal slip, and send it to the Town of Lake Lure, PO Box 255, Lake Lure, NC 28746.
What account information does the ACH form request?: It asks for the financial institution’s name and address, account holder’s name and telephone number, transit routing number, account number, and monthly draft amount.
Can I use this form to change or stop automatic drafts?: Yes. The form includes options to update an existing authorization or cancel an authorization, in addition to starting a new one.

Need something notarized?

This Authorization Agreement for Automatic Debit (ACH Draft) doesn’t need a notary — but if you have another Lake Lure form that does, a commissioned online notary can help.