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Get the free PDF One Time Credit Card Payment Authorization Form - Elizabeth City ...

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Credit Card Authorization Terms & Conditions Account Name (this must be the account name on file with Specialty)AddressAddress Line 1 Address Line 2 CityStateZipBy signing this credit card authorization
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The purpose of the PDF one time credit is to provide financial assistance or a reduction in tax liability for eligible taxpayers, helping to ease their financial burden.
Information such as personal identification details, income information, eligibility criteria, and any supporting documentation required by the agency must be reported.
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