Client Portal
Make a Payment
Client Portal
Make a Payment

Payment Plan

Central Professional Services

Financial Application

Your First Name
Your First Name
Field is required!
Field is required!
Your Last Name
Your Last Name
Field is required!
Field is required!
Address:
Your Address
Field is required!
Field is required!
City
City
Field is required!
Field is required!
State
  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Michigan
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Maryland
  • Massachusetts
  • Minnesota
  • Mississippi
  • Missouri
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Field is required!
Field is required!
Zip Code
Zipcode
Field is required!
Field is required!
Home Phone/Land Line Number
Phone Number:
Field is required!
Field is required!
Field is required!
Field is required!
Cellular Phone Number
Cellular Phone Number:
Field is required!
Field is required!
Field is required!
Field is required!
SSN
SSN
Field is required!
Field is required!
Date of Birth
Select a date
Field is required!
Field is required!
Are you Employed?
Field is required!
Field is required!
If NOT Employed, do you receive Unemployment Benefits, Soc Security etc
Field is required!
Field is required!
If Laid Off: Expected Return to Work Date:
Select a date
Field is required!
Field is required!
Who are you Employed or Subcontracted by?
Who are you Employed or Subcontracted by?
Field is required!
Field is required!
Length of time at Employer (Date of Hire)
Select a date
Field is required!
Field is required!
Hours per Week worked
Hours per Week worked
Field is required!
Field is required!
What is your Position?
What is your Position?
Field is required!
Field is required!
Are You Full or Part Time
Are You Full or Part Time
Field is required!
Field is required!
What is your Average Take Home Pay
(weekly, bi-weekly, monthly)
What is your Average Take Home Pay
Field is required!
Field is required!
Spouse First Name
Spouse First Name
Field is required!
Field is required!
Spouse Last Name
Spouse Last Name
Field is required!
Field is required!
Spouse SSN
Spouse SSN
Field is required!
Field is required!
Spouse DOB
Select a date
Field is required!
Field is required!
Spouse Cell
Spouse Cell
Field is required!
Field is required!
Is your Spouse Employed?
Field is required!
Field is required!
If NOT Employed, does your spouse receive Unemployment Benefits, Soc Security etc
Field is required!
Field is required!
Spouse: If Laid Off: Expected Return to Work Date:
(proceed with application)
Select a date
Field is required!
Field is required!
Who is your spouse Employed or Subcontracted by?
Who is your spouse Employed or Subcontracted by?
Field is required!
Field is required!
What is their Position?
What is their Position?
Field is required!
Field is required!
Length of time at POE (DOH) Spouse
Select a date
Field is required!
Field is required!
Are they Full or Part Time
Are they Full or Part Time
Field is required!
Field is required!
Hours per Week worked: Spouse
Hours per Week worked: Spouse
Field is required!
Field is required!
What is their Average Take Home Pay
What is their Average Take Home Pay
Field is required!
Field is required!
What Amount is paid for: Garnishment
Enter the price
Field is required!
Field is required!
What is the unpaid balance of the Garnishment?
Enter the price
Field is required!
Field is required!
What Amount is paid for: Support
Enter the price
Field is required!
Field is required!
Does your Spouse have any current garnishments or child support deductions?
Field is required!
Field is required!
Spouse: What is the unpaid balance of the Garnishment?
Spouse: What is the unpaid balance of the Garnishment?
Enter the price
Field is required!
Field is required!
Spouse: What Amount is paid for: Support
Spouse: What Amount is paid for: Support
Enter the price
Field is required!
Field is required!
Spouse: What Amount is paid for: Garnishment
Spouse: What Amount is paid for: Garnishment
Enter the price
Field is required!
Field is required!
What amount is paid for Rent/Mortgage
What amount is paid for Rent/Mortgage
Enter the price
Field is required!
Field is required!
What amount is paid for Utilities
What amount is paid for Utilities
Enter the price
Field is required!
Field is required!
What is the desired payment amount? (Select the payment frequency below)
What is the desired payment amount?
Enter the dollar amount
Field is required!
Field is required!
Field is required!
Field is required!
Signature authorized by customer (Sign below using your mouse or finger if using mobile device)
This is an attempt to collect a debt. Any information obtained will be used for that purpose. You are now communicating with a debt collector.
Field is required!
Field is required!
By signing this document you are authorizing the release of your information to Central Professional Services and it’s affiliates.
Field is required!
Field is required!
Submit

Your Path To Better

Results Starts Here

Request Information

Contact Us Today

Central Professional Services

801 Sunnyside Drive

Cadillac, MI 49601


Phone:

231-775-3711

1-800-748-0031

Our Business Hours

8:00am – 6:00pm Monday-Friday

8:00am – 12:00pm Saturday

Follow Us

This is a communication from a debt collector and is an attempt to collect a debt. Any information obtained will be used for that purpose. 

Copyright ©2024 Central Professional Services. All Rights Reserved

Use of this site signifies your agreement to the Privacy Policy and Terms & Conditions.