Payment Plan Setup

Payment Plan & ACH Authorization

Before You Begin

Confirm Your Amount First

Your monthly draft amount must be confirmed with our office before you submit this form. If you haven’t already arranged a payment plan with us, please call 859-214-0034 first so we can verify your balance and set your amount.

Please have the following ready before you start.

Bank Routing Number

9 digits found on the bottom left of your check.

Bank Account Number

Found on the bottom of your check, to the right of the routing number.

Voided Check

A photo or scan showing your routing and account numbers (optional, but it helps us verify).

Authorize Your Payment Plan

Prefer to fill it out by hand? Download the printable version (PDF) and email to [email protected].


Questions or Need Help?

Our team is here to help with your payment plan, your account, or anything else.

Phone

859-214-0034

Office

870 Corporate Drive, Suite 402
Lexington, KY 40503

Scroll to Top