Office of the Lieutenant Governor, VI · St. Thomas
Single-Use Credit Card Authorization for Payment Plans
This authorization lets a cardholder provide payment and card details for a single-use credit card charge related to a payment plan.
What this form is
Use this form to authorize a single-use credit card charge for a payment plan through the Division of Real Property Tax. The form asks for a parcel number or other designation, whether the payment is for an Installment Payment Agreement, the date, cardholder and credit card details, billing address, contact information, email, and charge amount. The document directs the cardholder to print, sign, and return it to the office.
Who needs it
A cardholder making a payment related to a payment plan should complete and return this authorization form.
How to submit it
Print, sign, and return the form by fax to any district at (340) 776-5039, by email to [email protected], or by postal mail to the Office of the Tax Collector, 5049 Kongens Gade, Charlotte Amalie, VI 00802.
About notarization
This document is signed without a notary; the signer just signs and dates it, and the form identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the Single-Use Credit Card Authorization for Payment Plans.
- 2
Complete The Form
Enter the requested parcel or other information, payment details, cardholder and card information, contact details, and charge amount.
- 3
Print And Sign
Print the completed authorization, sign it, and enter the date.
- 4
Return It To The Office
Fax, email, or mail the signed form using one of the submission methods printed on the form.
Frequently asked questions
- Do I need a notary for the Single-Use Credit Card Authorization?
- No. This form is signed without a notary. The signer signs and dates it, and the form does not identify a notarized or sworn attachment.
- How do I submit the authorization?
- Print and sign it, then fax it to any district at (340) 776-5039, email it to [email protected], or mail it to the Office of the Tax Collector at 5049 Kongens Gade, Charlotte Amalie, VI 00802.
- What information does the form ask for?
- It asks for a parcel number or other designation, payment date, cardholder and card details, billing address, contact number, email, and amount to be charged. It also has a checkbox for an Installment Payment Agreement.
Need something notarized?
This Single-Use Credit Card Authorization for Payment Plans doesn’t need a notary — but if you have another Office of the Lieutenant Governor form that does, a commissioned online notary can help.