Nebraska.gov

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DEMO Page 6

Review the Payment Information below and make any changes necessary.
The payment information should be updated to reflect the payer of the citation payment.

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Test Court ePayments
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Payment Information

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Billing Information

All fields are required unless noted as optional.

(as shown on account)
(optional)
(i.e. 00000-0000)
(i.e. 000-000-0000)

It is our policy not to use your telephone number or e-mail address for any purpose other than to contact you regarding this online transaction.


Account Information

Please select payment type (electronic check or credit card) and enter information for that option.


Checking Account Information
Sample Check


Credit Card Account Information
VISAMasterCardDiscover


Nebraska.gov Order Total (includes the payment(s) that will be remitted to the agency)

Description
ID
Quantity
Description: John & Jane Doe (JNT)
Id: C99CI120000006
Quantity: 1

nebpayInformationEntry