What information and attachment does the form request?

Provide financial institution and account details, a set or maximum amount, and the signer’s printed name, address, signature, and date. Attach a voided check.

Do I need a notary for the Credit/Debit Authorization Form?

No. The form calls for a signature and date, not notarization; it instructs you to attach a voided check.

How do I submit the Credit/Debit Authorization Form?

The form lists the City of Eden at P.O. Box 915, 120 Paint Rock Street, Eden, Texas 76837, but does not specify how to submit it.

Eden, TX · Concho County

No notary required

Credit/Debit Authorization Form

The City of Eden Credit/Debit Authorization Form lets an account holder authorize the city to make entries to a checking or savings account.

What this form is

Use this form to authorize the City of Eden to make entries to a checking or savings account at the financial institution you identify, including adjustments for transactions credited or debited in error. It asks for financial institution and account details, a set or maximum amount, and the signer’s name, address, signature, and date. Attach a voided check.

Who needs it

An account holder who wants to authorize the City of Eden to make entries to a checking or savings account can complete this form.

How to submit it

The form lists the City of Eden at P.O. Box 915, 120 Paint Rock Street, Eden, Texas 76837. It does not state a submission method.

About notarization

This form is signed and dated without a notary; attach a voided check as instructed.

How to submit this form

1
Download The Form
Download the City of Eden Credit/Debit Authorization Form.
2
Complete The Form
Fill in the financial institution, account information, amount, printed name, address, signature, and date.
3
Attach A Voided Check
Gather and attach the voided check requested on the form.
4
Send It To The City
The form lists the City of Eden at P.O. Box 915, 120 Paint Rock Street, Eden, Texas 76837; it does not specify a submission method.

Frequently asked questions

What does the Credit/Debit Authorization Form authorize?: It authorizes the City of Eden to initiate entries to the checking or savings account at the financial institution listed, and to adjust transactions credited or debited in error.
What information and attachment does the form request?: Provide financial institution and account details, a set or maximum amount, and the signer’s printed name, address, signature, and date. Attach a voided check.
Do I need a notary for the Credit/Debit Authorization Form?: No. The form calls for a signature and date, not notarization; it instructs you to attach a voided check.
How do I submit the Credit/Debit Authorization Form?: The form lists the City of Eden at P.O. Box 915, 120 Paint Rock Street, Eden, Texas 76837, but does not specify how to submit it.

Need something notarized?

This Credit/Debit Authorization Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.