Enter the numbers from the bottom of your check as illustrated below.

Your name as it appears on your check
First Name  Last Name:
Your mailing address

Your city, state & zip code
,  
Your phone number

Check number
           
 

Pay To The
Order Of:

 I.M.S.                                                     $

US Dollars and cents

  Type your full name here

Bank name, city, state

Signature 

Bank Routing Code and Bank Account Number
    

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