Pay By Check

To make an online payment, you must have the DCS# found on the notice you received. Your payment cannot process without this number. If you do not have the DCS#, please contact our office at (800) 256-3838 to speak to a representative.

There will be a $35.00 NSF fee on checks that come back for any reason.

DCS #

Responsible Party

Phone Number

Address

City

State

Zip Code

Name As It Appears On Checking Account

Address On Checking Account If Different

Checking City If Different

Checking State if Different

Checking Zip Code

Bank Routing Number

Bank Account Number

Payment Amount

Choose Payment Frequency Below

One Time Payment Draft Weekly Draft Monthly

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