Johns Creek, GA · Fulton County
Credit Card Authorization Form
Businesses use this form to authorize the City of Johns Creek to charge a credit card for a stated amount and issue a receipt or certificate if approved.
What this form is
Use this form to authorize the City of Johns Creek to charge a credit card for a specified amount. It asks for the business name and license number, card details, charge amount, cardholder name and contact information, signature, submission date, and email address. The form states that a receipt or certificate will be issued only if the card payment is approved.
Who needs it
A business or license holder submitting a credit card payment to the City of Johns Creek can use this form to authorize the charge.
How to submit it
Email the completed form to [email protected], mail it to Revenue at 11360 Lakefield Drive, Johns Creek, GA 30097, or fax it to 678-512-3245.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the cardholder just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Credit Card Authorization Form PDF.
- 2
Complete The Form
Enter the business and license information, card details, amount to charge, cardholder contact information, and submission date.
- 3
Sign The Form
The cardholder signs the authorization. The form does not list any attachments.
- 4
Submit To Revenue
Email, mail, or fax the completed form to the Revenue contact listed on the form.
Frequently asked questions
- What does the Credit Card Authorization Form do?
- It authorizes the City of Johns Creek to charge the amount entered on the form to the specified credit card. The city says a receipt or certificate is issued if the card payment is approved.
- What information does the form ask for?
- It asks for the business name, license number, card type and details, charge amount, cardholder name, contact phone, email address, signature, and submission date.
- How do I submit the Credit Card Authorization Form?
- Email it to [email protected], mail it to Revenue at 11360 Lakefield Drive, Johns Creek, GA 30097, or fax it to 678-512-3245.
- Do I need a notary for the Credit Card Authorization Form?
- No. This document is signed and dated without a notary, and it lists no notarized or sworn attachment.
Need something notarized?
This Credit Card Authorization Form doesn’t need a notary — but if you have another Johns Creek form that does, a commissioned online notary can help.