Quickbook and Accounting help

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Pay Online:

Billing Company: Hartford Fire Insurance Company

Bill Date: 04/01/16

Report Claims 24 hours a day: 1-800-327-3636

Billing Account #: 14837267

Insurance Bill

For Customer Service Call:1-866-467-8730 7 a.m. to 7 p.m. Central Time (Mon – Fri)

www.thehartford.com/servicecenter

To Pay in Full: $780.00 Minimum Due: $250.60 Due Date: 04/21/16 By paying the Pay in Full amount shown above, you will not pay the service fee assessed on this bill. If your payment is not received by the due date, a late fee of $10.00 will be assessed.

Named Insured: FOGGED IN BOOKKEEPING INC Your Agent: NUMBER ONE INSURANCE AGCY INC/PHS

ACCOUNT SUMMARY IMPORTANT MESSAGES Previous Account Balance Payments & Adjustments Premium Activity New Fee(s) Account Balance

$138.00 -$138.00 $780.00

$4.00

$784.00

• Thank you for renewing your insurance with The Hartford.

TRANSACTION DETAILS (since your last bill) Transaction

Transaction Description Policy # Policy Type Premium

Date Payments/

Adjustments Activity Fee

Activity

04/01/16 Service Fee $4.00

03/01/16 Electronic Payment- Thank You -$138.00

02/09/16 MA Ind Assess 08WECEI1623 Workers Compensation $18.00

02/09/16 Renewal 08WECEI1623 Workers Compensation $762.00

TOTALS -$138.00 $780.00 $4.00

Payment Due Date 04/21/16

$780.00 $250.60

Pay In Full Minimum Due

The Hartford P O Box 660916 Dallas, TX 75266-0916

Mail Payments To:

Amount Enclosed:

Account Number:

Check below and complete reverse side to request:

FOGGED IN BOOKKEEPING INC PO BOX 3531 NANTUCKET, MA 02584

Thank you for selecting The Hartford. We appreciate your business.

73072359 04/01/16 09 08 14837267 02 NU57

Address Changes

5239

14837267

Please detach here and insert with your payment. Write the account number on the check and make payable to The Hartford.

Policy Cancellation

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Policy Cancellation Request: (this section must be filled out entirely for us to complete your request)

Policy Number: Cancellation Effective Date:

Cancellation Reason: Replaced coverage with another Carrier Sold/closed business Other (specify):

Signature: Title: Date:

Address Changes: Check One: Mailing address ONLY Mailing address AND Physical Location change

Street: Effective Date of change:

City/State/Zip: Phone #:

Email Address:

FUTURE ACCOUNT INSTALLMENT SCHEDULE Bill Date Due Date Minimum Due 04/01/16 04/21/16(current due) $250.60 07/01/16 07/21/16 $190.50 10/01/16 10/21/16 $190.50 01/01/17 01/21/17 $152.40

A $4.00 service fee will be added to each installment bill issued.

IMPORTANT PAYMENT-RELATED INFORMATION

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We will apply payments received in the following order: Past due and audit premium on inactive policies Past due premium on active policies Past due fees, then Current account charges

Alternate payment instructions with your check will not be honored. When you provide a check as payment, you authorize us to either use information from your check to make a one-time electronic transfer from your bank account or process your payment as a check transaction. If you believe you received this invoice in error, please contact us at 1-866-467-8730 so that we can prevent further action.

POLICY BILLING DETAILS Policy Number Policy Type/Bill Plan/Status Policy Period Policy Balance Minimum Due

$0.0002/01/16-04/11/16 $0.0008WECEI1623 Workers Compensation/FULL PAY/Active

$780.0004/11/16-04/11/17 $246.6008WECEI1623 Workers Compensation/4 PAY/Down Payment Billing

New Fee(s) $4.00 $4.00

TOTALS $784.00 $250.60

PAYMENT OPTIONS • •

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Online at www.thehartford.com/servicecenter. Policies subject to cancellation may not be available in our automated system. AutoPay automatically withdraws premium payments from your bank account when they’re due – ensuring payments are never late and eliminating the potential for late fees. Enroll at www.thehartford.com/servicecenter or by calling 1-866-467-8730. Payment by phone allows you to make a one time payment from your bank account by calling our automated system at 1-866-467-8730. Policies subject to cancellation may not be available in our automated system. Mail payment ONLY along with the remittance stub, in the envelope provided. Allow at least 5 days for delivery. Do not mail any correspondence with your payment. Correspondence should be mailed to: The Hartford, 301 Woods Park Drive, Clinton, NY 13323. For Overnight/Express – send payments only to: Remitco – The Hartford #916, 1010 W Mockingbird Lane Suite 100, Dallas, TX 75247.

EXPLANATION OF TERMS State Surcharges: Fees that are assessed by your state and local government and paid by The Hartford to the appropriate agency. If a surcharge is applicable in your state, it will be shown separately on your invoice. Current Balance: The total amount due after applying all payments, credits or additional charges received since the last insurance bill. New Fee(s): The total of all fees assessed on the current bill. Service Fee: A fee that is assessed on each installment invoice, except where prohibited by law.

LAZ parking 02.01.16.pdf

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