What does the One Time Credit Card Payment Authorization Form do?

It authorizes Columbus Consolidated Government to charge the listed credit card once for the amount and payment purpose entered on the form.

What information does the form ask for?

It asks for the cardholder’s name, billing and contact details, card information, payment amount, date, and description of the goods or services.

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

No. The document has no notary block; the cardholder signs and dates the authorization.

How do I submit the One Time Credit Card Payment Authorization Form?

The form does not specify a submission method. Submit it to the county office named on the form and check the county website for current contact details.

Muscogee County, GA · Muscogee County

No notary required

One Time Credit Card Payment Authorization Form

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

At a glance

Issued by: City of Muscogee County · Muscogee County, Muscogee County, Georgia
Notarization: Not required: file this form without a notary.
Official source: columbusga.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to authorize Columbus Consolidated Government to debit the listed credit card once for a specified amount and payment purpose, on or after a date you provide. It requests the cardholder’s contact and billing details, card information, payment amount, date, and description. The form states that a non-refundable service fee of 3.85%, with a $2.50 minimum, will be added.

Who needs it

A person authorizing Columbus Consolidated Government to make a one-time credit card charge completes and signs this form.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This document is signed without a notary; the cardholder signs and dates the authorization.

How to submit this form

1
Download the Form
Download the One Time Credit Card Payment Authorization Form.
2
Complete the Payment Details
Enter your contact and billing details, card information, payment amount, date, and description.
3
Review the Authorization
Check the one-time payment terms and the stated non-refundable service fee.
4
Sign and Submit
Sign and date the form, then submit it to the county office named on the form.

Frequently asked questions

What does the One Time Credit Card Payment Authorization Form do?: It authorizes Columbus Consolidated Government to charge the listed credit card once for the amount and payment purpose entered on the form.
What information does the form ask for?: It asks for the cardholder’s name, billing and contact details, card information, payment amount, date, and description of the goods or services.
Do I need a notary for the One Time Credit Card Payment Authorization Form?: No. The document has no notary block; the cardholder signs and dates the authorization.
How do I submit the One Time Credit Card Payment Authorization Form?: The form does not specify a submission method. Submit it to the county office named on the form and check the county website for current contact details.

Need something notarized?

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