You have been directed to this page because you are in a payment plan with our office and have had new accounts add to your balance which require an increase to your payment plan.

To add the new account and balance into your payment plan, please complete the form below.

Payment plan increase authorization

Name

First Name

Last Name

Email

New Account Number

Increased Amount (from letter)

$

By clicking below, you agree to increase your existing payment plan by the amount listed on the letter that you received and that the new payment amount will be drafted on your next automatic payment date. You also understand that there are fees associated with each payment. The fees associated with debit card transactions is 1.99%. The fee associated with credit card transactions is 3.4%. ACH payments (routing & account numbers) is a $4 fee per transaction. By clicking below you agree to these terms.

ACCEPT

Payment plan increase authorization

Special Counsel Andy Bowers