Sachse, TX · Dallas County

No notary required

Bank Draft Authorization Form

Sachse utility customers use this form to authorize automatic monthly payment of their utility bills from a checking or savings account.

What this form is

This form enrolls a Sachse utility customer in the city’s bank draft program, authorizing automatic monthly withdrawal of the utility bill from a designated checking or savings account. It asks for customer and utility account details, bank information, and the account holder’s signature and date; include a blank or canceled check marked “VOID” when authorizing payment.

Who needs it

Sachse utility customers who want monthly bill payments automatically withdrawn from a checking or savings account need this form.

How to submit it

Email the completed form to [email protected] or return it by regular mail to the City of Sachse; the form gives no mailing address.

About notarization

This form is signed and dated without a notary; include a blank or canceled check marked “VOID,” which the document does not require notarized.

How to submit this form

  1. 1

    Download The Form

    Download the Bank Draft Authorization Form.

  2. 2

    Complete The Form

    Enter your customer, utility account, and bank details, then sign and date the authorization.

  3. 3

    Gather The Check

    Include a blank or canceled check marked “VOID” to authorize payment from your checking or savings account.

  4. 4

    Submit To The City

    Email the form to [email protected] or return it by regular mail to the City of Sachse.

Frequently asked questions

Do I need a notary for the Bank Draft Authorization Form?
No. The form is signed and dated without a notary. Include a blank or canceled check marked “VOID”; the document does not require it to be notarized.
How do I submit the Bank Draft Authorization Form?
Email the completed form to [email protected] or return it by regular mail to the City of Sachse. The form does not provide a mailing address.
What information does the form ask for?
It asks for your name, email, service address, telephone number, utility account number, financial institution, bank routing and account numbers, signature, and date.
When are bank draft payments deducted?
The form says payments are deducted on the 15th of each month. If that date falls on a weekend or city-observed holiday, the draft takes place the next business day.

Need something notarized?

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