Skip to main content

Auto Pay Request

A two-story house with a large window, front porch, and landscaped yard with a big pine tree.

If you are interested in having your payments automatically withdrawn from your checking account, please click below to complete an application form. If possible, we prefer that a voided check be included with the applicaton to ensure the correct account number is debited. Once completed, you can return the application to, mail it to our Holbein office or use one of our two drop boxes within the District (one box is located outside King Soopers on Baptist Road near the US Mailbox and the second is located in the parking lot at 15850 Holbein Drive).
If you should have any questions please call our office at 719-488-3603.
Automatic Withdrawal (ACH) form is available for download here