Horseshoe Bay, TX · Llano County

No notary required

Direct Debit Application

Horseshoe Bay utility customers use this application to authorize automatic monthly bill payments from a checking account or credit or debit card.

What this form is

The application authorizes the City of Horseshoe Bay to charge monthly utility bills to a checking account or card. Customers complete it to enroll in direct debit, choosing one payment option and signing the authorization agreement; checking-account applicants must include a voided check. The form requests account and billing details, payment information, and a signature and date.

Who needs it

Horseshoe Bay utility customers who want monthly bills paid automatically from a checking account or credit or debit card need this application.

How to submit it

For checking account debit, include a voided check and mail the application to the City of Horseshoe Bay. For other options, check the city website for current contact details.

About notarization

This application is signed and dated without a notary; checking-account applicants include a voided check, which the form does not say must be notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Direct Debit Application for Horseshoe Bay utility customers.

  2. 2

    Complete The Application

    Fill in the account and billing information, select one payment option, and sign and date the authorization agreement.

  3. 3

    Gather Required Attachment

    If you choose checking-account debit, include a voided check marked VOID.

  4. 4

    Submit To The City

    Mail the application and voided check to the City of Horseshoe Bay for checking-account debit; check the city website for other submission details.

Frequently asked questions

Do I need a notary for the Direct Debit Application?
No. The application calls for a signature and date, not notarization. Checking-account applicants must include a voided check; the form does not say the check needs notarization.
How do I submit the Direct Debit Application?
For checking-account debit, include a voided check and mail the application to the City of Horseshoe Bay. For other payment options, check the city website for current contact details.
What information does the application ask for?
It asks for your name as shown on the bill, account number, addresses, phone number, and payment details. You must select a payment option and sign and date the authorization agreement.
Is there a fee for direct debit?
The form says checking-account direct debit has no charge and credit or debit card transactions have a 3.5% convenience fee.

Need something notarized?

This Direct Debit Application doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.