Do I need a notary for the One Time Credit Card Payment Authorization Form?

No. The form has a signature and date line but no notary block; the signer just signs and dates it.

What information does the form ask for?

It asks for the payment amount and date, payment description, billing and contact details, credit card information, and the cardholder’s signature and date.

Does the form mention a service fee?

Yes. It states that a non-refundable service fee of 3.85%, with a $2.50 minimum charge, will be added to the payment.

Columbus, GA · Muscogee County

No notary required

One Time Credit Card Payment Authorization Form

This form authorizes Columbus Consolidated Government to make a single credit card charge for a payment specified by the cardholder.

What this form is

Use this form to authorize a one-time credit card debit for the amount and payment purpose you provide. It asks for the cardholder’s name and contact details, billing address, card information, payment amount and date, and a description of the goods or services. The form states that a non-refundable service fee of 3.85%, with a $2.50 minimum, will be added.

Who needs it

A cardholder who wants Columbus Consolidated Government to charge a specified payment to their credit card one time should complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer just signs and dates it.

How to submit this form

1
Download The Form
Download the One Time Credit Card Payment Authorization Form.
2
Complete The Payment Details
Enter the amount, date, and description of the goods or services, along with the requested billing and card information.
3
Sign And Date
Sign and date the authorization.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the One Time Credit Card Payment Authorization Form?: No. The form has a signature and date line but no notary block; the signer just signs and dates it.
How do I submit the One Time Credit Card Payment Authorization Form?: The form does not specify submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
What information does the form ask for?: It asks for the payment amount and date, payment description, billing and contact details, credit card information, and the cardholder’s signature and date.
Does the form mention a service fee?: Yes. It states that a non-refundable service fee of 3.85%, with a $2.50 minimum charge, will be added to the payment.

Need something notarized?

This One Time Credit Card Payment Authorization Form doesn’t need a notary — but if you have another Columbus form that does, a commissioned online notary can help.