Credit Card – Schwartz, Schwartz & Associates

Schwartz, Schwartz & Associates Payment Portal
Credit Card Payment

When you provide us with the account number, expiration date and the security code, you authorize us to charge your account in the amount you have agreed upon.

This is an attempt to collect a debt by a debt collector. Any information obtained will be used for this purpose.

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Credit Card

Payment Information

Schwartz, Schwartz & Associates File Number *

Payment Amount: (min payment is $20) *

Debtor's Name: *

Special Instructions:

Billing Name/Address

Name *

First

Last *

Last

Address *

City *

State *

Zip *

Credit Card Information

Credit Card Type *

Name on Credit Card *

Credit Card Number *

Credit Card Number - AMEX *

Expiration Date *

Month

Expiration Date *

Year

CVV *

For Mastercard, Visa or Discover it's the last three
digits in the signature area on the back of your card.
For American Express, it's the four digits on the front of the card.

CVV *

For Mastercard, Visa or Discover it's the last three
digits in the signature area on the back of your card.
For American Express, it's the four digits on the front of the card.

Is this card a: *

Credit Card

Debit Card

Medical/Flex Spending Card

Confimation for Recurring Payments for the Amount Specified Above: *

Yes, I Agree

When Should Recurring Payment Post *

1st of the month

15th of the month

30th of the month

Other

Amount of Recurring Payment *

Contact Information

Phone *

Cell Phone: *

Email *

By clicking SEND, I understand that my credit card will be billed for the amount which, I have authorized, and I will not attempt to dispute the charge with my credit card company.

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Schwartz, Schwartz & Associates Payment Portal Credit Card Payment

Payment Information

Billing Name/Address

Credit Card Information

Contact Information

Schwartz, Schwartz & Associates Payment Portal
Credit Card Payment