San Patricio County, TX · San Patricio County
Credit Card Authorization Form
This form lets a cardholder authorize a credit card payment to the San Patricio County District Clerk and provide the billing and card details.
At a glance
- Issued by
- City of San Patricio County · San Patricio County, San Patricio County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- sanpatriciocountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Credit Card Authorization Form records a cardholder’s payment authorization for the San Patricio County District Clerk. It asks for the card type, cardholder and firm names, card number, expiration date, matching billing address, telephone and fax numbers, and an authorized signature. The lower section is for clerk use and includes spaces for court costs, transaction details, and processing records.
Who needs it
A cardholder authorizing a credit card payment to the San Patricio County District Clerk should complete and sign this form.
How to submit it
The form lists the District Clerk at P.O. Box 1084, 400 West Sinton Street, Sinton, Texas 78387, and provides fax number (361) 364-9477.
About notarization
This document is signed without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Credit Card Authorization Form.
- 2
Complete the Form
Print or type the requested cardholder, billing, contact, and credit card information, then sign the authorization.
- 3
Gather Attachments
The form does not list any attachments.
- 4
Submit to the District Clerk
Use the District Clerk address or fax number printed on the form.
Frequently asked questions
- Do I need a notary for the Credit Card Authorization Form?
- No. The form has an authorized signature line but no notary block, and it lists no notarized or sworn attachment. The signer just signs and dates it.
- How do I submit the Credit Card Authorization Form?
- The form lists the District Clerk at P.O. Box 1084, 400 West Sinton Street, Sinton, Texas 78387, and provides fax number (361) 364-9477.
- What information does the form ask for?
- It asks for the card type, cardholder and firm names, card number, expiration date, matching billing address, telephone and fax numbers, and an authorized signature.