Dilley, TX · Frio County

No notary required

Extension Form

Dilley residents use this form to request an account extension by providing account details, the requested extension amount and date, and a signature.

What this form is

The Extension Form collects an account number, account name and address, telephone number, extension amount, extension date, printed name, date, and signatures. It states that no extension is allowed past the 15th and includes a notice about late fees of $10 for those inside city limits and $15 for those outside. The remaining pages contain USDA nondiscrimination statements and related guidance.

Who needs it

A person seeking an extension for an account in Dilley should use this form to provide the requested account and extension details.

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 document is signed without a notary; the signer just prints their name, signs, and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Dilley Extension Form PDF.

  2. 2

    Complete the Account Details

    Enter the account number, name, address, telephone number, extension amount, and extension date.

  3. 3

    Sign and Date

    Print your name, sign, and date the form. The document does not list an attachment to gather.

  4. 4

    Submit to the City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Dilley Extension Form ask for?
It asks for an account number, account name and address, telephone number, extension amount and date, printed name, date, and signatures.
Do I need a notary for the Dilley Extension Form?
No. This form is signed without a notary; the signer prints their name, signs, and dates it. The document does not identify a notarized attachment or related step.
How do I submit the Dilley Extension Form?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Does the form mention a deadline or late fees?
It states that no extension is allowed past the 15th and notes late fees of $10 for those inside city limits and $15 for those outside.

Need something notarized?

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