| Personal Check (electronic) Payment | Personal check payment information displays in the Payment section |
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| Same as Applicant |
Check box indicating the person making the payment is the same as the person applying for the certificate (Applicant) |
| Same as Shipping |
Check box indicating the person making the payment is the same as the person the order is being shipped to |
| Multiple/Partial Payments |
Check box indicating the total amount due will be paid in multiple or partial payment, Payment Amount field displays if checked
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| Disclaimer Confirmation |
Check box indicating the caller has been informed of the Disclaimer |
| Routing Number | Routing Number of the checking account used for payment |
| Routing No. Conf |
Confirmation of the checking account routing number used for payment |
| Drivers License No. |
Drivers License number of the person who is making payment (using their checking account) |
| SSN |
Note - May be required based on Agency Social Security number of person making payment on the order (checking account holder) |
| Account No. |
Account Number of the checking account used for payment |
| Account No. Conf |
Confirmation of the account number of the checking account used for payment |
| Issuing State |
State where the drivers license was issued |
| Check Number |
Check Number of the check used for payment |
| Check No. Conf |
Confirmation of the check number used for the payment |
| Date of Birth |
Date of Birth of person making the payment (checking account holder) |
| First Name |
First Name of person making payment on the order (checking account holder) |
| Middle Name |
Middle Name of person making payment on the order (checking account holder) |
| Last Name |
Last Name of person making payment on the order (checking account holder) |
| Suffix |
Suffix of the person making payment on the order (checking account holder) |
| Address Type |
Address Type of the person making payment on the order (checking account holder) |
| Zip Code |
Zip Code of the person making the payment on the order (checking account holder) |
| Address 1 |
Street Address of the person making payment on the order (checking account holder) |
| Address 2 |
Additional Street Address line of the person making payment on the order (checking account holder) |
| City |
City of the person making the payment on the order (checking account holder) |
| State |
State of the person making the payment on the order (checking account holder) |
| County |
County of the person making the payment on the order (checking account holder) |
| Phone |
10-digit Phone number of the person making the payment (checking account holder) |
