Credit Card Payment

Cal. Form ADM-253

California Superior Local Rules

Case #: Case Name: Card #: 16-digit number for Visa/MasterCard or 15-digit number for American Express Expiration Date: Security Code*: *A 3-digit code on the back after the account number for Visa/MasterCard or a 4-digit code on the front above the account number for American Express. Amount to be Charged: $ Visa MasterCard American Express Only Visa, MasterCard and American Express are accepted.

Billing Address: Street City State ZIP Cardholder Name: Print name exactly as it appears on card Daytime Phone #: ( ) Date: Cardholder Signature: For Office Use Only Clerk’s name if payment processed telephonically SDSC ADM-253 (Rev. 10/18) CREDIT CARD PAYMENT (CONFIDENTIAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CREDIT CARD PAYMENT (CONFIDENTIAL)

Document details

Collection	California Superior Local Rules
Citation	Cal. Form ADM-253
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	2c475de58935e066fa19f08774a77fcf5ec34e08

Source file is stored in the law ingest library (pdf).