Northlake, TX · Denton County
Authorization for Direct Payment Automatic Bill Payment
Northlake utility customers use this authorization form to arrange automatic bill payments from a checking or savings account.
What this form is
This form authorizes the Town of Northlake to make variable automatic utility bill payments from the account listed. Customers complete it to sign up for automatic payment and return it with this month’s payment. It asks for account and financial institution details, a voided check or savings deposit slip or routing number, and signatures, names, dates, contact numbers, and an address.
Who needs it
Northlake utility customers who want bills paid automatically from a checking or savings account need to complete and return this authorization.
How to submit it
Complete and sign the authorization form, then return it with this month’s payment; the document gives no mailing address or online submission method.
About notarization
This form is signed and dated without a notary; attach a voided check or savings deposit slip, or provide the financial institution’s routing number.
How to submit this form
- 1
Download The Form
Download the automatic bill payment authorization PDF.
- 2
Complete The Authorization
Enter the account and financial institution details requested on the form.
- 3
Gather The Supporting Item
Attach a voided check or savings deposit slip, or provide the financial institution’s routing number.
- 4
Sign And Date
Provide the requested signature, full name, date, daytime contact number, and address.
- 5
Return The Form
Return the completed and signed authorization with this month’s payment.
Frequently asked questions
- Do I need a notary for the automatic bill payment authorization?
- No. The form asks for signatures and dates, not notarization. Attach a voided check or savings deposit slip, or provide the financial institution’s routing number.
- How do I submit the automatic bill payment form?
- Complete and sign the authorization form, then return it with this month’s payment. The document does not provide a mailing address or online submission method.
- What account details does the form request?
- It requests a checking or savings account number and the financial institution’s name and address. It also asks for a voided check, savings deposit slip, or routing number.
- When are automatic payments made?
- The document says automatic bank debits occur on the 15th or the next business day. Standard bills continue to be mailed by the 5th of every month.
Need something notarized?
This Authorization for Direct Payment Automatic Bill Payment doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.