4/1/22, 4:33 PM Installment

Friday
  
April 1, 2022
Primary Installment Activity Transactions Vehicle/Drivers Documents ID Card Letter Certificates Notes
 
Claims Renewal Lien/Addl Ins Suspense Company Auto Pay Fax Cover Change Request

90
 109-90094-8962-001 [3]   [2]   Program Value Added ( Standard ) Effective 12/24/2021 Expiration 12/24/2022
Refresh Villegas, Yuranys Status Cancel Pending / Nonpay State Florida   ESigned

 
Fee Chart Current Pay Due Current Pay Amt
Date 04/07/2022 Due $298.41 Total Received $856.91  

Pay Remaining 8 Pay Off Amt $2,456.09      

Endorsement
Amt To
Reinstate $298.41 Amt To Rewrite      
AutoPay  

Installment History
Cancellation # Type Mail Date Due Date
Billed
Fees
Invoice Amount
 
Premium (Prem + Fee + Adj)
1 Down Payment 12/24/2021 12/24/2021 259.91 20.00 279.91  
Payment
2 Installment 01/05/2022 01/24/2022 268.47 20.00 288.47  
3 Installment 02/07/2022 02/24/2022 268.47 20.00 288.42  
Doc Upload
4 Installment 03/07/2022 03/24/2022 268.47 30.00 298.46  
 
Forms
Installment Schedule
Install
# Type Mail Date Due Date Fees Invoice Amount  
Premium
5 Installment   04/24/2022 268.46 30.00 298.45  
6 Installment   05/24/2022 268.46 20.00 288.45  
7 Installment   06/24/2022 268.46 20.00 288.45  
8 Installment   07/24/2022 268.46 20.00 288.45  
9 Installment   08/24/2022 268.46 20.00 288.45  
10 Installment   09/24/2022 268.46 20.00 288.45  
11 Installment   10/24/2022 268.46 20.00 288.45  
12 Installment   11/24/2022 268.46 20.00 288.48  
 
 
Payments
Entry Date Received Date Reverse Date Payment Type Payment ID Transfer Amount Reverse Reason
From
 12/24/2021   12/24/2021      EFT-Ins   EFT   279.91     
Agency  
From
 01/29/2022   01/29/2022      EFT-Ins   EFT   289.00     
Agency  
From
 03/04/2022   03/04/2022      EFT-Ins   EFT   288.00     
Agency  
 
 
 

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