Tipp City, OH · Miami County
Automatic Deduction Application
Tipp City Utilities customers use this application to authorize monthly automatic deductions from a checking or savings account.
What this form is
This application authorizes Tipp City Utilities to debit a checking or savings account for utility payments on the 10th of each month. To sign up, complete and sign the form and include a voided check or an official bank document showing your name, account number, and routing number; the form says participation is free.
Who needs it
Tipp City Utilities customers who want their monthly utility payments automatically deducted from a checking or savings account should file this application.
How to submit it
Return the completed, signed form and required bank attachment to the Utility Department, 260 S. Garber Drive, Tipp City, Ohio 45371-3116. The form says participation is free.
About notarization
This application is signed and dated without a notary; attach a voided check or official bank document showing your name, account number, and routing number.
How to submit this form
- 1
Download the Application
Download the Automatic Deduction Application PDF.
- 2
Complete the Form
Provide your account and financial institution information, select checking or savings, and sign and date the authorization.
- 3
Gather the Bank Attachment
Attach a voided check or official bank document showing your name, account number, and routing number.
- 4
Submit to the Utility Department
Return the completed form and bank attachment to the Utility Department at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Automatic Deduction Application?
- No. The application is signed and dated without a notary. Include a voided check or official bank document showing your name, account number, and routing number.
- How do I submit the Automatic Deduction Application?
- Return the completed, signed form and required bank attachment to the Utility Department at 260 S. Garber Drive, Tipp City, Ohio 45371-3116.
- When are automatic deductions made?
- The form says the deduction occurs on the 10th of the month. You will continue to receive your monthly bill by mail or email.
- Is there a fee to participate?
- No. The application states that there is no fee to participate in automatic deduction.