payment-appraisal.bankcentral.net Open in urlscan Pro
199.255.160.39  Public Scan

URL: https://payment-appraisal.bankcentral.net/
Submission: On November 08 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://central.electpay.net/OnlinePayments/GenericV1/CreatePayment

<form id="MyForm" class="needs-validation form" method="post" novalidate="" action="https://central.electpay.net/OnlinePayments/GenericV1/CreatePayment">
  <div id="step1">
    <!-- Step Counter -->
    <ol class="step-counter">
      <li class="step-active">Customer Info</li>
      <li>Payment Details</li>
    </ol>
    <hr>
    <p id="currentStep" class="small">Step 1 of 2</p>
    <!-- Customer Info Header -->
    <h2 class="form-header">Customer Information</h2>
    <!-- Form Fields -->
    <div class="row">
    </div>
    <div class="row">
      <!-- First Name-->
      <div class="form-field col-sm-6">
        <div id="divf">
          <label class="input-label" for="firstName">First Name</label>
          <div class="input-wrapper">
            <input type="text" id="firstName" class="input-text" autofocus="autofocus" required="">
          </div>
          <span class="invisible error-message">Please enter your first name.</span>
        </div>
      </div>
      <!-- Last Name-->
      <div class="form-field col-sm-6">
        <div id="divl">
          <label class="input-label" for="lastName">Last Name</label>
          <div class="input-wrapper">
            <input type="text" id="lastName" class="input-text" required="">
          </div>
          <span class="invisible error-message">Please enter your last name.</span>
        </div>
      </div>
    </div>
    <div class="row">
      <!-- Street Address -->
      <div class="form-field col-sm-12">
        <div id="divsa">
          <label class="input-label" for="streetAddress">Street Address</label>
          <div class="input-wrapper">
            <input type="text" id="streetAddress" class="input-text" required="">
          </div>
          <span class="invisible error-message">Please enter the street address.</span>
        </div>
      </div>
    </div>
    <div class="row">
      <!-- City -->
      <div class="form-field col-sm-5">
        <div id="divc">
          <label class="input-label" for="city">City</label>
          <div class="input-wrapper">
            <input type="text" id="city" class="input-text" required="">
          </div>
          <span class="invisible error-message">Please enter the city name.</span>
        </div>
      </div>
      <!-- State -->
      <div class="form-field col-sm-3">
        <div id="divs">
          <label class="input-label" for="state">State</label>
          <div class="input-wrapper dropdown-wrapper">
            <select id="state" class="input-dropdown" placeholder="" required="">
              <option value="Alabama">AL</option>
              <option value="Alaska">AK</option>
              <option value="Arizona">AZ</option>
              <option value="Arkansas">AR</option>
              <option value="California">CA</option>
              <option value="Colorado">CO</option>
              <option value="Connecticut">CT</option>
              <option value="Deleware">DE</option>
              <option value="Florida">FL</option>
              <option value="Georgia">GA</option>
              <option value="Hawaii">HI</option>
              <option value="Idaho">ID</option>
              <option value="Illinois">IL</option>
              <option value="Indiana">IN</option>
              <option value="Iowa">IA</option>
              <option value="Kansas">KS</option>
              <option value="Kentucky">KY</option>
              <option value="Louisiana">LA</option>
              <option value="Maine">ME</option>
              <option value="Maryland">MD</option>
              <option value="Massachusetts">MA</option>
              <option value="Michigan">MI</option>
              <option value="Minnesota">MN</option>
              <option value="Mississippi">MS</option>
              <option value="Missouri" selected="">MO</option>
              <option value="Montana">MT</option>
              <option value="Nebraska">NE</option>
              <option value="Nevada">NV</option>
              <option value="New Hampshire">NH</option>
              <option value="New Jersey">NJ</option>
              <option value="New Mexico">NM</option>
              <option value="New York">NY</option>
              <option value="North Carolina">NC</option>
              <option value="North Dakota">ND</option>
              <option value="Ohio">OH</option>
              <option value="Oklahoma">OK</option>
              <option value="Oregon">OR</option>
              <option value="Pennsylvania">PA</option>
              <option value="Rhode Island">RI</option>
              <option value="South Carolina">SC</option>
              <option value="South Dakota">SD</option>
              <option value="Tennessee">TN</option>
              <option value="Texas">TX</option>
              <option value="Utah">UT</option>
              <option value="Vermont">VT</option>
              <option value="Virginia">VA</option>
              <option value="Washington">WA</option>
              <option value="West Virginia">WV</option>
              <option value="Wisconsin">WI</option>
              <option value="Wyoming">WY</option>
            </select>
          </div>
          <span class="invisible error-message">Please enter a valid state.</span>
        </div>
      </div>
      <!-- Zip Code -->
      <div class="form-field col-sm-4">
        <div id="divz">
          <label class="input-label" for="zipCode">Zip Code</label>
          <div class="input-wrapper">
            <input type="tel" id="zipCode" class="input-text zip" required="">
          </div>
          <span class="invisible error-message">Please enter a valid zip code.</span>
        </div>
      </div>
    </div>
    <div class="row">
      <!-- Email Address -->
      <div class="form-field col-sm-12">
        <div id="dive">
          <label class="input-label" for="emailAddress">Email Address</label>
          <p class="input-message">A receipt will be sent to this email address.</p>
          <div class="input-wrapper">
            <input type="email" id="emailAddress" class="input-text" required="">
          </div>
          <span class="invisible error-message">Please enter a valid email address.</span>
        </div>
      </div>
    </div>
    <div class="row">
      <!-- Phone Number -->
      <div class="form-field col-sm-5">
        <div id="divph">
          <label class="input-label" for="phone">Phone Number</label>
          <p class="input-message"><a class="notice" data-toggle="collapse" href="#collapseNotice" role="button" aria-expanded="false" aria-controls="collapseNotice">Why do we ask for this?</a></p>
          <div id="collapseNotice" class="notice-expanded collapse">
            <p>This number will only be used to contact you in case of a problem.</p>
          </div>
          <div class="input-wrapper">
            <input type="tel" id="phone" class="input-number phone" required="">
          </div>
          <span class="invisible error-message">Please enter your phone number.</span>
        </div>
      </div>
    </div>
    <!-- Next Step Button -->
    <div class="row mt-4">
      <div class="col-sm-6 ml-auto">
        <button type="button" id="nextStep" class="btn-main float-right" onclick="validateAndContinue()">Next Step<i class="fas fa-arrow-circle-right" aria-hidden="true"></i></button>
      </div>
    </div>
  </div>
  <div id="step2" hidden="">
    <!-- Step Counter -->
    <ol class="step-counter">
      <li class="step-completed">Customer Info</li>
      <li class="step-active">Payment Details</li>
    </ol>
    <hr>
    <p id="currentStep" class="small">Step 2 of 2</p>
    <!-- Customer Info Header -->
    <h2 class="form-header">Payment Details</h2>
    <!-- Form Fields -->
    <div id="noPaymentPlan">
      <div class="row">
        <!-- Property Address -->
        <div class="form-field col-sm-12">
          <div id="divpa">
            <label class="input-label" for="propertyAddress">Property Address</label>
            <div class="input-wrapper">
              <input type="text" id="propertyAddress" class="input-text" required="">
            </div>
            <span class="invisible error-message">Please enter the property address.</span>
          </div>
        </div>
      </div>
      <div class="row">
        <!-- City -->
        <div class="form-field col-sm-5">
          <div id="divpc">
            <label class="input-label" for="propertyCity">City</label>
            <div class="input-wrapper">
              <input type="text" id="propertyCity" class="input-text" required="">
            </div>
            <span class="invisible error-message">Please enter the city name.</span>
          </div>
        </div>
        <!-- State -->
        <div class="form-field col-sm-3">
          <div id="divps">
            <label class="input-label" for="propertyState">State</label>
            <div class="input-wrapper dropdown-wrapper">
              <select id="propertyState" class="input-dropdown" placeholder="" required="">
                <option value="Alabama">AL</option>
                <option value="Alaska">AK</option>
                <option value="Arizona">AZ</option>
                <option value="Arkansas">AR</option>
                <option value="California">CA</option>
                <option value="Colorado">CO</option>
                <option value="Connecticut">CT</option>
                <option value="Deleware">DE</option>
                <option value="Florida">FL</option>
                <option value="Georgia">GA</option>
                <option value="Hawaii">HI</option>
                <option value="Idaho">ID</option>
                <option value="Illinois">IL</option>
                <option value="Indiana">IN</option>
                <option value="Iowa">IA</option>
                <option value="Kansas">KS</option>
                <option value="Kentucky">KY</option>
                <option value="Louisiana">LA</option>
                <option value="Maine">ME</option>
                <option value="Maryland">MD</option>
                <option value="Massachusetts">MA</option>
                <option value="Michigan">MI</option>
                <option value="Minnesota">MN</option>
                <option value="Mississippi">MS</option>
                <option value="Missouri" selected="">MO</option>
                <option value="Montana">MT</option>
                <option value="Nebraska">NE</option>
                <option value="Nevada">NV</option>
                <option value="New Hampshire">NH</option>
                <option value="New Jersey">NJ</option>
                <option value="New Mexico">NM</option>
                <option value="New York">NY</option>
                <option value="North Carolina">NC</option>
                <option value="North Dakota">ND</option>
                <option value="Ohio">OH</option>
                <option value="Oklahoma">OK</option>
                <option value="Oregon">OR</option>
                <option value="Pennsylvania">PA</option>
                <option value="Rhode Island">RI</option>
                <option value="South Carolina">SC</option>
                <option value="South Dakota">SD</option>
                <option value="Tennessee">TN</option>
                <option value="Texas">TX</option>
                <option value="Utah">UT</option>
                <option value="Vermont">VT</option>
                <option value="Virginia">VA</option>
                <option value="Washington">WA</option>
                <option value="West Virginia">WV</option>
                <option value="Wisconsin">WI</option>
                <option value="Wyoming">WY</option>
              </select>
            </div>
            <span class="invisible error-message">Please enter a valid state.</span>
          </div>
        </div>
        <!-- Zip Code -->
        <div class="form-field col-sm-4">
          <div id="divpz">
            <label class="input-label" for="propertyZipCode">Zip Code</label>
            <div class="input-wrapper">
              <input type="tel" id="propertyZipCode" class="input-text zip" required="">
            </div>
            <span class="invisible error-message">Please enter a valid zip code.</span>
          </div>
        </div>
      </div>
      <div class="row">
        <!-- Loan Number -->
        <div class="form-field col-sm-7">
          <div id="divln">
            <label class="input-label" for="loanNumber">Loan Number</label>
            <div class="input-wrapper">
              <input type="number" id="loanNumber" class="input-number" required="">
            </div>
            <span class="invisible error-message">Please enter your loan number.</span>
          </div>
        </div>
        <!-- Payment Amount -->
        <div class="form-field col-sm-5">
          <div id="divp">
            <label class="input-label" for="paymentAmount">Payment Amount</label>
            <div class="input-wrapper">
              <input type="tel" id="paymentAmount" class="input-number currency" required="">
            </div>
            <span class="invisible error-message">Please enter a valid payment amount.</span>
          </div>
        </div>
      </div>
    </div>
    <!-- Form Navigation Buttons -->
    <div class="row justify-content-center align-items-center mt-4">
      <div class="col-sm-6 order-2 order-sm-1 mr-sm-auto">
        <button type="button" id="previousStep" class="btn-secondary" onclick="goBack()"><i class="fas fa-arrow-circle-left" aria-hidden="true"></i>Previous Step</button>
      </div>
      <div class="col-sm-6 order-1 order-sm-2 ml-sm-auto">
        <input type="text" class="d-none" name="ApiKey" value="ONLINEdlPzCJh0GkLDVkwouZYA">
        <input hidden="" type="number" id="FeeAmountCents" name="FeeAmountCents">
        <input type="text" id="Line" name="Line[0]" class="d-none" value="">
        <input hidden="" name="TransactionIdentifier" type="text" value="TxId">
        <input type="text" id="LineHeader" class="d-none" name="LineHeader"
          value="First Name, Last Name, Street Address, City, State, Zip Code, Email Address, Phone Number, Property Address, Property City, Property State, Property Zip Code, Loan Number">
        <input type="text" name="ReturnUrl" class="d-none" value="https://www.bankcentral.net/">
        <button type="button" id="submitMe" class="btn-main float-right" onclick="submitPayment()">Review Payment <i class="fas fa-arrow-circle-right" aria-hidden="true"></i></button>
      </div>
    </div>
  </div>
</form>

Text Content

WELCOME TO BANK CENTRAL'S PAYMENT PORTAL

Please enter your payment information and fill in the required information.

The appraisal amount due can be found on your appraisal invoice or in your loan
estimate. You are not required to pay for the appraisal until you have received
the loan estimate and have given your intent to proceed with the transaction.

If you cannot locate your loan estimate, please email or call your loan officer
for the appraisal amount to enter below.


 1. Customer Info
 2. Payment Details

--------------------------------------------------------------------------------

Step 1 of 2


CUSTOMER INFORMATION


First Name

Please enter your first name.
Last Name

Please enter your last name.
Street Address

Please enter the street address.
City

Please enter the city name.
State
AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MIMN MS MO MT NE
NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Please enter a valid state.
Zip Code

Please enter a valid zip code.
Email Address

A receipt will be sent to this email address.


Please enter a valid email address.
Phone Number

Why do we ask for this?

This number will only be used to contact you in case of a problem.


Please enter your phone number.
Next Step
 1. Customer Info
 2. Payment Details

--------------------------------------------------------------------------------

Step 2 of 2


PAYMENT DETAILS

Property Address

Please enter the property address.
City

Please enter the city name.
State
AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MIMN MS MO MT NE
NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Please enter a valid state.
Zip Code

Please enter a valid zip code.
Loan Number

Please enter your loan number.
Payment Amount

Please enter a valid payment amount.
Previous Step
Review Payment

Thank you for your payment.

For payment or technical questions, please contact us at our email.

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