Yantis, TX · Wood County
ACH Bank Draft Authorization Form
Yantis water customers use this form to authorize recurring monthly utility bill debits from a checking or savings account.
What this form is
This form authorizes the City of Yantis Water Department to debit the customer’s checking or savings account for the full water bill between the 10th and 15th of each month. It asks for customer, billing, contact, and bank account information, plus a signature and date. The authorization remains in effect until canceled in writing, and account changes or cancellation must be reported in writing at least 15 days before the next billing date.
Who needs it
Yantis water customers who want their monthly utility bill automatically debited from a checking or savings account should complete this form.
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 customer signs and dates the authorization form.
How to submit this form
- 1
Download The Form
Download the ACH Bank Draft Authorization Form.
- 2
Complete The Form
Enter your customer, billing, contact, and bank account information, then sign and date the authorization.
- 3
Gather Attachments
The form does not list any required attachments.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the ACH Bank Draft Authorization Form?
- No. The form asks the customer to sign and date it and does not include a notary block.
- How do I submit the ACH Bank Draft Authorization 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.
- When will the water bill be debited?
- The form says the full amount of the water bill will be debited from the authorized checking or savings account between the 10th and 15th of each month.