How do I submit the Single-Use Credit Card Authorization Form?

Return it by fax to the St. Thomas-St. John District at (340) 776-5039 or the St. Croix District at (340) 773-0330, by email to lgopayments@lgo.vi.gov, or by postal mail to either district address listed on the form.

What information does the form request?

It requests the cardholder’s name, card type and number, expiration date, card ID number, billing address, contact details, charge amount, and the parcel number or other purpose for the charge.

Where can I find the mailing addresses?

The form lists district mailing addresses for St. Thomas and St. Croix. It instructs applicants to mail the completed form to one of those addresses.

Office of the Lieutenant Governor, VI · St. Thomas

No notary required

Single-Use Credit Card Authorization Form

This form lets a cardholder authorize the Division of Real Property Tax to charge a credit card for an amount applied to a parcel or another purpose.

What this form is

The Division of Real Property Tax uses this form to obtain single-use credit card authorization. The cardholder enters their contact and billing details, card information, charge amount, and the parcel number or other purpose to which the charge should apply. The form provides signature and date fields and instructions for returning it to the office.

Who needs it

A cardholder who wants to authorize a single credit card charge for a parcel or another purpose should complete and return this form.

How to submit it

Return it by fax to the St. Thomas-St. John District at (340) 776-5039 or the St. Croix District at (340) 773-0330, by email to [email protected], or by postal mail to either district address listed on the form.

About notarization

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

How to submit this form

1
Download The Form
Download the Single-Use Credit Card Authorization Form.
2
Complete The Authorization
Enter the requested cardholder, card, billing, contact, and charge details, then indicate the parcel number or other purpose.
3
Sign And Date
Sign and date the authorization form.
4
Return The Form
Fax it to the appropriate district, email it to [email protected], or mail it to either district address listed on the form.

Frequently asked questions

Do I need a notary for the Single-Use Credit Card Authorization Form?: No. This form is signed without a notary; the cardholder just signs and dates the authorization form.
How do I submit the Single-Use Credit Card Authorization Form?: Return it by fax to the St. Thomas-St. John District at (340) 776-5039 or the St. Croix District at (340) 773-0330, by email to [email protected], or by postal mail to either district address listed on the form.
What information does the form request?: It requests the cardholder’s name, card type and number, expiration date, card ID number, billing address, contact details, charge amount, and the parcel number or other purpose for the charge.
Where can I find the mailing addresses?: The form lists district mailing addresses for St. Thomas and St. Croix. It instructs applicants to mail the completed form to one of those addresses.

Need something notarized?

This Single-Use Credit Card Authorization Form doesn’t need a notary — but if you have another Office of the Lieutenant Governor form that does, a commissioned online notary can help.