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NYS Department of State DIVISION OF CORPORATIONS 41 State Street Credit Card/Debit Card Authorization Albany, NY 122310001 www.dos.state.ny.us Attach this form to your document or written request.
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How to fill out credit carddebit card authorization

01
Step 1: Gather all necessary information - You will need the credit card/debit card details, such as the card number, expiration date, and CVV code.
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Step 2: Obtain the credit card/debit card authorization form - This form is usually provided by the merchant or service provider where you want to use your card.
03
Step 3: Fill out the personal details - Enter your name, billing address, and contact information accurately.
04
Step 4: Provide card details - Write down your credit card/debit card number, expiration date, and CVV code in the designated fields.
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Step 5: Sign and date the form - Review the information provided, ensure it is accurate, and sign the form with your full name and date.
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Step 6: Submit the form - Return the filled-out authorization form to the merchant or service provider through their preferred method, such as in-person, by mail, or online.

Who needs credit carddebit card authorization?

01
Individuals making online purchases with credit/debit cards.
02
Merchants or service providers that require pre-authorized payments for their products or services.
03
Hotels, car rental agencies, and travel agencies that may need to secure reservation payments in advance.
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Companies or organizations that offer subscription-based services and want to set up recurring payments from customers' cards.
05
Businesses that need to make regular payments to suppliers or vendors using a credit card/debit card.
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Anyone who wants to authorize someone else to use their credit card/debit card for specific purposes.
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Credit card/debit card authorization is the process of verifying a cardholder's account to ensure that they have enough funds to cover a purchase.
Any merchant or business that accepts credit card/debit card payments is required to file credit card/debit card authorization.
To fill out a credit card/debit card authorization, the merchant needs to enter the cardholder's information, the card details, the transaction amount, and obtain the cardholder's signature.
The purpose of credit card/debit card authorization is to confirm that a cardholder has enough funds or credit available to complete a transaction.
The information that must be reported on a credit card/debit card authorization includes the cardholder's name, card number, expiration date, transaction amount, and the cardholder's signature.
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