One Time Credit Card Authorization Form

ONE TIME CREDIT CARD AUTHORIZATION FORM. This form is for use in the United States Bankruptcy Court for the Eastern and Western Districts of Arkansas. It allows the user to authorize the court to charge their credit card for payment of various fees, costs, and expenses related to bankruptcy proceedings. The form includes fields for the credit cardholder's name, contact information, signature, and date. It also requires the entry of the credit card information, including the account number, expiration date, and card type. Additionally, the form lists various charges for services provided by the court, such as filing fees, motion fees, search fees, copy fees, and others. There is also a section to list debtor(s) and case number(s). Once completed, the form must be faxed to the specified number. www.FormsWorkflow.com