Business & Professional Services, Inc 574-389-3000
Secure Payment Form

This communication is from a debt collector. This is an attempt to collect a debt, any information obtained will be used for that purpose.
Account Information:
Payment Date: 08/11/22
Account Number:
Payment Amount:
Payment Note:
Phone Number:
Credit Card Information:
Card Type:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]