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To pay fees using a credit card simply complete and sign this form and attach it to your application. We process credit card payments upon receipt. Department of State Division of Licensing Services P. O. Box 22001 Albany NY 12201-2001 Credit Card Authorization The Department of State s Division of Licensing Services accepts MasterCard and Visa for payment of fees. Please PRINT CLEARLY in blue or black ink. APPLICANT S INFORMATION Please enter the name of the person or company this payment is...
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