Direct Debit Application for Water and Sewer Payments
This Direct Debit Application allows residents of Round Lake Beach to set up automatic payments for water and sewer services. Ensure prompt and timely payments by authorizing deductions from your designated bank account. For any questions, contact the Village at the provided number.
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How do I fill this out?
To fill out this form, start by entering your personal information as it appears on your bill. Next, provide details about your financial institution and select whether you are authorizing a checking or savings account. Finally, attach a voided check or deposit slip and submit the completed application to the Village.

How to fill out the Direct Debit Application for Water and Sewer Payments?
1
Fill in your personal details accurately.
2
Provide your bank account information.
3
Select the type of account for debiting payments.
4
Include a voided check or deposit slip.
5
Submit the form to the Village.
Who needs the Direct Debit Application for Water and Sewer Payments?
1
Residents of Round Lake Beach who want to automate their payments.
2
New homeowners looking to set up utilities at their address.
3
People who prefer a hassle-free billing process.
4
Individuals who frequently forget payment due dates.
5
Customers who wish to avoid late fees for water and sewer services.
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What are the instructions for submitting this form?
To submit this Direct Debit Application, complete all required fields, attach the necessary voided check or deposit slip, and mail the application to Village Hall at 1937 N Municipal Way, Round Lake Beach, IL 60073. For inquiries, you can contact the Village at (847) 546 -2351 or email at waterbills@roundlakebeachil.gov. It's essential to ensure that the form is filled out completely to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
Important payment deadlines for 2024 and 2025 will be determined based on the Village's billing cycle. Please check with the Village for specific payment schedules as they become available.

What is the purpose of this form?
The purpose of the Direct Debit Application is to facilitate automated payments for residents of Round Lake Beach. This service ensures timely payment of water and sewer bills, reducing the risk of late fees. By enabling residents to authorize payments directly from their bank accounts, it provides a convenient solution for managing utility expenses.

Tell me about this form and its components and fields line-by-line.

- 1. Customer Name: Name as it appears on the utility bill.
- 2. Village Account Number: Your account number for water and sewer services.
- 3. Service Address: Location at which services are provided.
- 4. Billing Address: If different from the service address, please provide here.
- 5. Daytime Phone Number: A contact number where you can be reached.
- 6. Email Address: Your email for records and communication.
- 7. Financial Institution Name: Name of the bank where your account is held.
- 8. ABA Routing Number: Bank's routing number for direct deposits.
- 9. Account Number: Your bank account number.
- 10. Signature: Your written consent to charge the specified account.
What happens if I fail to submit this form?
Failure to submit this form may result in missed payments and late fees on your water and sewer services. It's crucial to ensure that all information is accurate and complete before submission.
- Missed Payments: Not submitting the form may lead to forgotten payment deadlines.
- Late Fees: Without enrollment, you risk incurring late payment fees.
- Service Disruption: Inconsistent payments might lead to service interruptions.
How do I know when to use this form?

- 1. New Residents: First-time homeowners setting up utility payments.
- 2. Convenience Seekers: Residents desiring automated, stress-free payments.
- 3. Budgeting: Individuals looking to manage their finances with scheduled payments.
Frequently Asked Questions
How do I submit this Direct Debit application?
You can submit the application by mailing it to the Village Hall at the address provided on the form.
Can I change my bank account after signing up?
Yes, you can notify the Village of any changes to your bank account information.
What if I miss a payment?
It is crucial to maintain sufficient funds to avoid non-sufficient fund fees.
Will I receive a bill even if I enroll in Direct Debit?
Yes, you will continue to receive a bill for your records.
How can I discontinue Direct Debit payments?
To terminate the service, simply notify the Village in writing.
Are there fees associated with this service?
You will be responsible for any fees related to non-sufficient funds.
How long does it take to process my application?
Processing times may vary, but you should receive confirmation shortly after submission.
What happens if there are two returned payments?
Direct Debit will be canceled if two payments are returned within a 12-month period.
What information do I need to provide?
You will need to provide your personal details, financial institution name, and account number.
Can I use a savings account for Direct Debit?
Yes, you can authorize either a checking or savings account for payment.