Credit Card Authorization

By signing this authorization the client authorizes New York Mutual, Zeus, or its affiliate to charge or collect the payment amount. The client also acknowledges that this payment is 100% non-refundable. If the payment is not honored by the financial institution, or the incorrect banking information is entered, a service fee of $30 will be charged.

Purpose of Charge*
Hidden
Other
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address City State ZIP Code
Full Name*
First Last
Phone*
Your Email*
Used to send a copy of this transaction
Subject Property Address*
Street Address City State ZIP Code
Date
Signature*
Amount*
Please refer to your most recent invoice for the correct payment amount.
Memo
Consent*
I agree to the payment submission policy.
IMPORTANT: We Can Not accept credit card payments for interest payments or principal paydowns. By submitting this form, you acknowledge and agree that any attempts to make such payments via credit card will be declined/reversed and may result in delays in processing your transactions. Please use alternative payment methods for these types of payments. Thank you for your understanding and cooperation.

* Indicates a Required Field

Terms and Conditions