Credit Card Collection Authorization Form {2} | Pdf Fpdf Doc Docx | New York

 New York   Statewide   Filing By Electronic Means   Electronic Filing 
Credit Card Collection Authorization Form {2} | Pdf Fpdf Doc Docx | New York

Last updated: 11/8/2010

Credit Card Collection Authorization Form {2}

Start Your Free Trial $ 13.99
200 Ratings
What you get:
  • Instant access to fillable Microsoft Word or PDF forms.
  • Minimize the risk of using outdated forms and eliminate rejected fillings.
  • Largest forms database in the USA with more than 80,000 federal, state and agency forms.
  • Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
  • Trusted by 1,000s of Attorneys and Legal Professionals


COUNTY CLERK, _______________ COUNTY CREDIT CARD COLLECTION AUTHORIZATION FORM [Electronic Filing] Name hereby authorizes the County Clerk of _________________ County to charge the following credit card number(s) for payment of filing fees and other expenses relating to papers filed by electronic means. (N.B. At present, we only accept Master Card and Visa Cards.) PLEASE PRINT: Master Card No.: Visa Card No.: Exp. Date: Exp. Date: Name as it appears on card: Cardholder's mailing address: City: Business Phone No.: State: Zip Code: Fax No.: In the event the charge against this account is denied, you will be notified immediately to make payment in cash, money order or certified check. This authorization form will be kept on file in the County Clerk's office and shall remain in effect until specifically revoked in writing. It will be maintained in a separate file from the court papers and will not be available to the public. It is the responsibility of the individual/firm/company named herein to notify the County Clerk's office of the new expiration date when a credit card has been renewed, or if a card has been canceled or revoked. Signature: For official use only Identification No.: Date Received: Date: UCS Electronic Filing Form #2: Credit Card Collection Authorization 2002 © American LegalNet, Inc.

Our Products