Recent Payment

Account Number
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Last Name
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First Name
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Email Address
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Home Phone/Land Line
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Cellular Phone Number
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Date of Payment
Select a date
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Name of person or Insurance Company that made payment
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Who was the payment made to?
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Payment Amount
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Provide Check Number if applicable
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Payment authorization or reference number:
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Please provide any additional information or detail regarding your payment:
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* Central Professional Services will assist you in any way we can, however, some requests require more information and a representative may contact you at the phone number you provided.
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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.