THA COMMERCIAL INSURANCE PAYMENTS

To: Toby Hansen Agency Inc.

COMMERCIAL INSURANCE PAYMENT PAGE

~ o ~

Payer Information

[Required]
[Required]
[Required]
Payment Amount:

Select Payment Method

e-Check

Fee: $1.00

Amount: ~n/d~

Processing time: up to 5 business days

Credit\Debit Card

Fee: 2.9% + 55c

Amount: ~n/d~

Processing time: Instant

~ CHECK  ~
~ ADDRESS ~
~~
~~
~BANK & ACCOUNT~
~ o ~
~ CARD PAYMENT  ~
[Required]
Your Receipt Pages

Please select the page you want to use to create this receipt

Please choose the page!

Unpaid Items for

$podatak.amount_str INVOICE
Created on: podatak.createdOn_str
Due Date: podatak.dueDate_str
podatak.paymentFor
~ o ~

Please Confirm

Are you sure you want to initiate a payment for:

Very Important! Please double check your e-mail addresses. Invalid addresses will be omitted.

You can add up to 5 additional e-mail addresses separated with comma ( , ) character.
(i.e.: john.doe@mail.net, anna@mail.net,jack.smith@mymail.org)

Very Important! Please enter valid e-mail addresses

Add new Payment/Receipt Item

Please Read Carefully...

Please Confirm

Error

Something went wrong while we tried to prescreen your bank account.

If you proceed without this prescreen, your payment will be flagged as suspicious and may be declined by the payee.

[show more info]

Fraud Alert

This can happen if it is a new account or if the bank did not report the bank account number to the national database.

If you continue, this situation triggers a Fraud Alert in the EpayUS system.

Do you want to continue with the Account numbers entered?

[show more info]

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