Pay by Personal Check

This secure form allows you to conveniently pay by personal check.

Your payment will be processed as a draft by our payment processing company.

*Service charges and NSF fees are added for any draft not honored for any reason.

Please check your balances prior to submitting payment.

NOTE: If you do not have an actual check for reference,

Enter 9999 for check number and 9999 for All Numbers Section

Name as shown on check (Box A)

Co-Owner of Account (if any, otherwise write NONE)

Email Address

Verify Email

Address on file with bank (Box A)

City

State

Zip Code

Phone number shown on check (or write NONE)

Best Contact phone number

Name of Bank (Box B)

Routing Number (9 Digits) (Box F)

Account Number (Box G)

Check Number shown on check (Box D)

All Numbers Shown on bottom of check (Box D, F, G)

Amount You Authorize TODAY (Box H)

For the benefit of (name of our client)

Type YES to approve processing your payment

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