Do I need a notary for this credit card payment authorization?

No. Sign and date the authorization without a notary. The form requires a copy of your current photo ID to accompany it.

How do I submit the authorization?

Mail it to the City Clerk’s Office at 515 North Avenue, New Rochelle, NY 10801, or email it to cityclerkinfo@newrochelleny.com. Include the accompanying application.

What information does the agreement ask for?

It asks for applicant contact information, the requested document, credit card type and details, the payment amount, and the applicant’s signature and date.

What must accompany this authorization?

The form says to include the accompanying application and a copy of a current photo ID, such as a U.S. driver’s license or passport.

New Rochelle, NY · Westchester County

No notary required

Authorization Agreement for Automatic Credit Card Payment

Applicants use this agreement to authorize the City of New Rochelle to charge a credit card for a requested document fee.

What this form is

This agreement authorizes the City of New Rochelle to debit a credit card for a license, certificate, report, transcript, permit, or other document fee listed on an accompanying application. The City Clerk’s Office processes payment after receiving both the authorization and application. The form asks for applicant contact details, the requested document, card information, payment amount, signature, and date.

Who needs it

Applicants requesting a document from the City Clerk’s Office who want to pay the related fee by credit card should complete this agreement.

How to submit it

Mail the authorization to the City Clerk’s Office, 515 North Avenue, New Rochelle, NY 10801, or email it to [email protected]. Include the accompanying application and a copy of current photo ID.

About notarization

This authorization is signed and dated without a notary; include a copy of current photo ID, as the form requires.

How to submit this form

1
Download The Agreement
Download the automatic credit card payment authorization form.
2
Complete The Form
Enter applicant contact details, select the requested document, provide card information and amount, then sign and date.
3
Gather Required Items
Include the accompanying application and a copy of your current photo ID.
4
Submit To The City
Mail the materials to the City Clerk’s Office or email them to [email protected].

Frequently asked questions

Do I need a notary for this credit card payment authorization?: No. Sign and date the authorization without a notary. The form requires a copy of your current photo ID to accompany it.
How do I submit the authorization?: Mail it to the City Clerk’s Office at 515 North Avenue, New Rochelle, NY 10801, or email it to [email protected]. Include the accompanying application.
What information does the agreement ask for?: It asks for applicant contact information, the requested document, credit card type and details, the payment amount, and the applicant’s signature and date.
What must accompany this authorization?: The form says to include the accompanying application and a copy of a current photo ID, such as a U.S. driver’s license or passport.

Need something notarized?

This Authorization Agreement for Automatic Credit Card Payment doesn’t need a notary — but if you have another New Rochelle form that does, a commissioned online notary can help.