Do I need a notary for the ACH Authorization Form?

No. The form requires initials and original signatures, but no notary. Attach a voided check for checking or a deposit slip for savings.

How do I submit the ACH Authorization Form?

Print and bring the completed form and required bank attachment to the Utility Department at 203 West Main Street, Wilkesboro, NC 28697. The form cannot be emailed.

What bank information does the form request?

It asks for the depository name and branch, city, state and ZIP code, routing number, account number, and whether the account is checking or savings.

How long does ACH plan processing take?

The form asks applicants to allow 30 days for processing. Continue paying utility bills as before until a statement says the bill is paid by bank.

Wilkesboro, NC · Wilkes County

No notary required

ACH Authorization Form

Utility customers use this form to authorize the Town of Wilkesboro to debit or credit a bank account for utility bill payments.

What this form is

This form enrolls a utility account in the Town’s ACH-Pay Plan, which automatically deducts the amount due from the specified bank account each month. Applicants provide utility account and contact details, bank information, and initials accepting the plan terms. Attach a voided check for a checking account or a deposit slip for a savings account; the form requires printed completion and original signatures.

Who needs it

Wilkesboro utility customers who want monthly bill payments automatically debited from a checking or savings account need this form.

How to submit it

Print and bring the completed form with a voided check or deposit slip to the Town of Wilkesboro/Utility Department, 203 West Main Street, Wilkesboro, NC 28697. The form cannot be emailed; allow 30 days for processing.

About notarization

This document is signed and initialed without a notary; attach a voided check for checking or a deposit slip for savings.

How to submit this form

1
Download The Form
Download and print the ACH Authorization Form.
2
Complete The Form
Fill in utility account, contact, and bank details; initial each plan term and provide original signatures.
3
Gather The Bank Attachment
Attach a voided check for a checking account or a deposit slip for a savings account.
4
Bring It To The Utility Department
Bring the printed form and attachment to 203 West Main Street, Wilkesboro, NC 28697. Do not email it; allow 30 days for processing.

Frequently asked questions

Do I need a notary for the ACH Authorization Form?: No. The form requires initials and original signatures, but no notary. Attach a voided check for checking or a deposit slip for savings.
How do I submit the ACH Authorization Form?: Print and bring the completed form and required bank attachment to the Utility Department at 203 West Main Street, Wilkesboro, NC 28697. The form cannot be emailed.
What bank information does the form request?: It asks for the depository name and branch, city, state and ZIP code, routing number, account number, and whether the account is checking or savings.
How long does ACH plan processing take?: The form asks applicants to allow 30 days for processing. Continue paying utility bills as before until a statement says the bill is paid by bank.

Need something notarized?

This ACH Authorization Form doesn’t need a notary — but if you have another Wilkesboro form that does, a commissioned online notary can help.