Card Payment Form (Texas)
This is a credit card form for making payments for forms to Texas. The form provided here is simply a sample of what the actual Form 807 looks like.
The State of Texas
SECRETARY OF STATE
CORPORATIONS SECTION
CARD PAYMENT FORM
FAX NO. (512) 463-5709
FOR CUSTOMER USE (PLEASE PRINT OR TYPE)
Name of Cardholder: ____________________
Address: ____________________
City: ____________________
State: ____________________
Zip: ____________________
Phone No.: (____) ____________________
FAX No.: (____) ____________________
TYPE DOCUMENT TO BE FILED: ____________________
NAME OF ENTITY: ____________________
SPECIAL INSTRUCTIONS: ____________________
EXPEDITED HANDLING REQUESTED ____ YES ____ NO
(Additional charge of $25 for document processing)
(Additional charge of $10 for copies/certificates)
SELECT PAYMENT CARD TYPE AND PROVIDE REQUESTED INFORMATION
The undersigned authorizes the fees to be charged to:
____ VISA ____ MASTERCARD ____ DISCOVER
Card No.: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
Expiration Date: _ _ / _ _ (MO/YR)
Signature: ____________________
The undersigned authorizes the fees to be charged to:
____ LegalEase
(For information about LegalEase, call 1-800/253-5749)
Card No.: _ _ _ _ _ _ - _ _ _ _ _ - _ _ _ - _ _
Client No.: _ _ _ _ _ _ Case No. _ _ _ _
Signature: ____________________
FOR SECRETARY OF STATE USE
PROCESSED BY: ____________________
NEWT ____ CHAT ____ STAT ____ CERT ____ OTHER ____ EXAMINER NAME ____________________
FILED ____
REJECTED ____
File Number ____________________, ____________________, ____________________
FILING FEE(S): $____________________
EXPEDITED HANDLING FEE: $____________________
CID # ____________________ S.0. # ____________________ CERTIFYING FEE: $____________________
FILING GUIDE: $____________________
(Credit Card Only) Processing Charge 2.1% $____________________
TOTAL AMOUNT $____________________
Form No. 807 (Rev. 9/99)