Merkel, TX · Taylor County
Utility Preauthorized Payment Authorization
This authorization agreement lets Merkel utility customers provide bank or card details and authorize automatic draft payments.
What this form is
Use this agreement to authorize the City of Merkel-Water Department to initiate automatic debit entries and, if needed, corrections for debit entries in error. It provides fields for bank account or credit/debit card information and asks for the account holder’s printed name, signature, and date. The form states that the debit occurs on the due date shown in the current billing cycle.
Who needs it
A utility customer who wants to authorize preauthorized payments using a bank account or credit/debit card should complete 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 authorization is signed and dated without a notary; the form does not mention any notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Utility Preauthorized Payment Authorization PDF.
- 2
Complete The Payment Details
Fill in the bank account or credit/debit card information requested on the form.
- 3
Sign And Date
Provide the printed name, signature, and date of the person authorizing payment.
- 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
- Do I need a notary for the Utility Preauthorized Payment Authorization?
- No. The form asks for the account holder’s printed name, signature, and date, and does not mention a notarized or sworn attachment.
- How do I submit the Utility Preauthorized Payment Authorization?
- Submit it to the city department named on the form; check the city website for current contact details.
- What payment information does the form request?
- For a bank draft, it requests the bank name, routing number, account number, and checking or savings selection. For a card draft, it requests card details, expiration date, CVV, and ZIP code.