Olney, TX · Young County
Authorization Agreement for Pre-Arranged Payments
Olney customers use this authorization agreement to arrange monthly automatic bank payments for water, sanitation, and wastewater service.
What this form is
This agreement authorizes the City of Olney to debit a customer's checking account monthly for billed services and authorizes the named bank to make those debits. Customers provide bank and account details, contact information, and signatures. The form states that the payment plan is an alternative way to pay for water, sanitation, and wastewater service and does not change service charges.
Who needs it
Olney customers who want to authorize monthly automatic payments from a checking account for their city water, sanitation, and wastewater services need 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; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Authorization Agreement for Pre-Arranged Payments PDF.
- 2
Complete The Agreement
Enter the requested bank, account, and customer information, then sign the agreement.
- 3
Gather Attachments
The document does not identify any attachments to gather.
- 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 Olney pre-arranged payment agreement authorize?
- It authorizes the City of Olney to debit a customer's checking account monthly for billed services and authorizes the named bank to make those debits.
- Who uses this payment authorization form?
- Customers paying for Olney water, sanitation, and wastewater service can use it to authorize automatic monthly payments from a checking account.
- Do I need a notary for the Olney payment authorization agreement?
- No. This document is signed without a notary and lists no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Olney payment 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 Pre-Arranged Payments doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.