What does the Pandora water autopay agreement authorize?

It authorizes the Village of Pandora Office to initiate debit entries to the checking or savings account provided for a water account.

What should I attach to the agreement?

Attach a voided check or deposit slip with the correct routing number. Complete a separate agreement for each water account.

Do I need a notary for the Pandora water autopay agreement?

No. The agreement asks for a customer signature and date, and an attached voided check or deposit slip; it does not require notarization.

Pandora, OH · Putnam County

No notary required

Autopay Agreement — Authorization for Electronic Fund Transfer

Pandora water customers use this agreement to authorize electronic debits from a checking or savings account for a water account.

What this form is

This agreement authorizes the Village of Pandora Office to initiate debit entries from the checking or savings account listed for a water account. It asks for depositor and financial institution details, customer contact information, the water service address and account number, and a signature and date. Attach a voided check or deposit slip with the correct routing number, and complete a separate agreement for each water account.

Who needs it

Pandora water customers who want to authorize electronic fund transfers for a water account should complete this agreement.

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 agreement is signed and dated without a notary; the signer also attaches a voided check or deposit slip, which the form does not say must be notarized.

How to submit this form

1
Download The Agreement
Download the Pandora water autopay agreement PDF.
2
Complete The Agreement
Print the requested depositor, bank, customer, water service, and account information; then sign and date it.
3
Gather The Attachment
Attach a voided check or deposit slip with the correct routing number.
4
Submit The Agreement
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Pandora water autopay agreement authorize?: It authorizes the Village of Pandora Office to initiate debit entries to the checking or savings account provided for a water account.
What should I attach to the agreement?: Attach a voided check or deposit slip with the correct routing number. Complete a separate agreement for each water account.
Do I need a notary for the Pandora water autopay agreement?: No. The agreement asks for a customer signature and date, and an attached voided check or deposit slip; it does not require notarization.
How do I submit the Pandora water autopay agreement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Autopay Agreement — Authorization for Electronic Fund Transfer doesn’t need a notary — but if you have another Pandora form that does, a commissioned online notary can help.