app.simplicitycollect.com Open in urlscan Pro
34.198.153.242  Public Scan

Form analysis
1 forms found in the DOM

POST ./PaymentPortal.aspx?paymentid=

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  <div class="page">
    <div class="header">
      <div class="title">
        <div style="float:left;">
          <h1>Secure Online Payment Portal</h1>
        </div>
      </div>
      <div style="float:right; width:120px; padding-top:5px;">
        <img src="images/Simplicity-Logo-PoweredBy.png?v=001" alt="SimplicityCollect Logo" width="115px" height="38px">
      </div>
      <div class="clear"></div>
    </div>
    <div class="main">
      <div style="width:50%; float:left;">
        <table>
          <tbody>
            <tr>
              <td>Payment ID:</td>
              <td>Social Security #</td>
              <td></td>
            </tr>
            <tr>
              <td><input name="txtPaymentId" type="text" id="txtPaymentId"></td>
              <td>XXX-XX-<input name="txtSSNLastFour" type="text" id="txtSSNLastFour" style="width:50px;"></td>
              <td><input type="submit" name="btnLoadDebtorAccount" value="Submit" id="btnLoadDebtorAccount"></td>
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      </div>
    </div>
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    </div>
    <div class="footer">
      <p>This is an attempt to collect a debt, and any information obtained will be used for that purpose. This communication is from a debt collector.</p>
    </div>
  </div>
</form>

Text Content

SECURE ONLINE PAYMENT PORTAL




Payment ID: Social Security # XXX-XX-





This is an attempt to collect a debt, and any information obtained will be used
for that purpose. This communication is from a debt collector.