South El Monte, CA · Los Angeles County
Credit Card Payment Form
South El Monte’s Credit Card Payment Form lets a person authorize the Finance Department to charge fees to a credit card.
What this form is
Use this form to authorize the City of South El Monte Finance Department to charge fees directly to a credit card. The form asks for the payment amount, the cardholder’s printed name, signature, and date, and credit card details, including card type, number, expiration date, and CVV. It says to submit the form with application fees.
Who needs it
A person who wants the city to charge fees directly to a Visa, Mastercard, or Discover card can complete and submit this form.
How to submit it
Email the completed form and application fees to Christina Navarro at [email protected], as directed on the form.
About notarization
This document is signed and dated without a notary; the form lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Form
Download the Credit Card Payment Form.
- 2
Complete The Form
Enter the payment amount and requested cardholder and credit card information, then sign and date the form.
- 3
Gather Application Fees
Include the application fees with the completed form.
- 4
Email The Form
Email the form and application fees to Christina Navarro at [email protected].
Frequently asked questions
- Do I need a notary for the Credit Card Payment Form?
- No. The form asks for a signature and date, but does not require a notary. It lists no notarized or sworn attachment or related step.
- How do I submit the Credit Card Payment Form?
- Email the completed form and application fees to Christina Navarro at [email protected], as directed on the form.
- What information does the form ask for?
- It asks for the payment amount, printed name, signature, date, card type, credit card number, expiration date, and three-digit CVV code.