Please set payment instructions as it will be applied to all payments in this
transaction. To save this request without submitting it for transmit, click
"Save as draft."
Payment instructions:
Do not process details with amounts of $0.00
Send details with amounts of $0.00 as payments
Child Support Payment - 1
These are the accounts which will receive the recorded amount when a payment
request is transmitted.
SDU ABA/TRC:
333333336
SDU account number:
123454321
SDU account type:
Checking
SDU name:
Family Services Dept.
Identification number (optional):
PDC-17204
Case identifier:
NV-186-21745
Pay date:
/
/
(mm/dd/yyyy)
Payment amount:
$
Non-custodial parent SSN:
123456789
Medical support indicator:
No
Non-custodial parent name (optional):
ASmith
FIPS code of the receiving SDU (optional):
32888
Employment termination indicator (optional):
No
Child Support Payment - 2
These are the accounts which will receive the recorded amount when a payment
request is transmitted.