Secure Account Payment

Process authorized consumer payments using the form below.

Consumer Payment Processing

Payments can now be processed online at the agent level for all consumer transactions. Below is an explanation of the three different payment scenarios handled in our office.

One-Time Payments

Payments being processed today.
Post-Dated One-Time Payments

This is for Consumers wishing to initiate a “Promise to Pay” for a future date. Payments will NOT process today.
Payment Arrangements

Use this option for Consumers who will be making a payment today and who will setup automatic payment arrangements on specified dates. You can schedule up to 3 future payments.

Payment Form

Step 1 of 2

Agent & Consumer Info

Today's Date

Agent Name

Your Name

Agent ID

SecureCRM File No.

XXXX-XXXXXXXX-XXXX

Consumer (Debtor) Name

First

Last

Phone

Account Debt Details

Lender

Debt Balance $

Settlement Amount $

If applicable

What Type of Payment Is This

One-Time Payment
Post Dated One-Time Payment
Payment Arrangement

Please Note: For One-Time Payments, the payment will be processed today. For payment arrangements, the FIRST payment will be processed today and we can schedule up to 3 future payments below.

Payment Details

Payment Information

Card Type

Debit Card
Credit Card

Name on the Card

First

Last

For post dated payments and payment arrangements, re-enter the credit card payment information below.

Billing Address

Address Line 1

City

State

Zip Code