What does the ACH authorization agreement do?

It authorizes the City of Bogata to initiate debit entries to a checking or savings account and to make credit entries or adjustments for debit errors.

What information does the agreement ask for?

It asks for the bank name, routing number, account number, name on the account, phone number, signer name, signature, date, and emergency contact.

Do I need a notary for the ACH authorization agreement?

No. The agreement calls for a signature and date, not notarization, and it does not mention a notarized or sworn attachment or related step.

Bogata, TX · Red River County

No notary required

Authorization Agreement for Direct Payments (ACH Debits)

This agreement lets an account holder authorize the City of Bogata to debit a checking or savings account for direct payments.

What this form is

The agreement authorizes the City of Bogata to initiate ACH debit entries to the account holder’s checking or savings account and to make credit entries or adjustments for debit errors. It asks for the depository bank’s name, routing and account numbers, account holder name, contact details, signature, and date. The authorization remains in effect until the company receives written notice of termination.

Who needs it

An account holder who wants to authorize the City of Bogata to initiate direct payment debits from a checking or savings account needs this agreement.

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 agreement is signed and dated without a notary; it does not mention any notarized or sworn attachment or related step.

How to submit this form

1
Download The Agreement
Download the ACH authorization agreement PDF.
2
Complete The Agreement
Enter the requested account, bank, and contact details, then sign and date the agreement.
3
Gather Account Details
Have the checking or savings account and depository information requested on the agreement available.
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 ACH authorization agreement do?: It authorizes the City of Bogata to initiate debit entries to a checking or savings account and to make credit entries or adjustments for debit errors.
What information does the agreement ask for?: It asks for the bank name, routing number, account number, name on the account, phone number, signer name, signature, date, and emergency contact.
Do I need a notary for the ACH authorization agreement?: No. The agreement calls for a signature and date, not notarization, and it does not mention a notarized or sworn attachment or related step.
How do I submit the ACH authorization agreement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Authorization Agreement for Direct Payments (ACH Debits) doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.