Electronic Check Secure Payment Processing
LEE CO FUNDING ACCOUNT HOLDER INFORMATION *Account Holders First Name *Account Holders Last Name *Account Holders Account Number *Account Holders Social Security Number Must Be Entered for Verification *Account Holders Regular Monthly Payment Must Be Entered *Amount Being Paid Today Must Be Entered *Date of Payment Must Be Entered CHECKING ACCOUNT HOLDER - INFORMATION: * Full Name of Bank * Checking Account Holders Full Name * Checking Account Holders Address * City *State *Zip Apartment Number or Other Address Information *Checking Account Holders EMAIL Checking Account INFORMATION * ABA Routing Number * Checking Account Number * Check Number * Amount of This Check
LEE CO FUNDING ACCOUNT HOLDER INFORMATION
*Account Holders First Name *Account Holders Last Name *Account Holders Account Number *Account Holders Social Security Number Must Be Entered for Verification *Account Holders Regular Monthly Payment Must Be Entered *Amount Being Paid Today Must Be Entered *Date of Payment Must Be Entered
CHECKING ACCOUNT HOLDER - INFORMATION: * Full Name of Bank * Checking Account Holders Full Name * Checking Account Holders Address * City *State *Zip Apartment Number or Other Address Information *Checking Account Holders EMAIL
Checking Account INFORMATION * ABA Routing Number * Checking Account Number * Check Number * Amount of This Check
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