Skip to form

City of Concord Collections

collections@concordnc.gov

35 Cabarrus Ave W

704-920-5238

Document Signers
    • 1 Account Owner

SeamlessDocs

This form is for enrollment in Budget Billing and Automatic bank draft for payment of your utility bill.
Note: No transaction fees for checking account drafts.

Continue with this form by clicking the "Next" button below.
To enroll in Budget Billing with automatic credit card payments instead, please click here.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
05/22/2019Click to Sign
Signature HereClick to Sign
05/22/2019Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

COPY OF VOIDED CHECK Click Here to Upload