Laserfiche WebLink
00 <br />FiI e Loca I ry Your one stop for local business licensing and tax filing <br />0 0 0 0 <br />FILE & PAY <br />SELECTION PREPARE Send Form & CONFIRM <br />Select Forms Enter Data Payment Print Form <br />You have been directed to a separate website for KUBRA, Filel-ocal's secure third -party payment processor. Your payment details <br />and transaction are secured by their systems. FileLocal does not store or have access to your financial information. When you have <br />completed the payment process, you will be directed back to the FileLocal website. <br />Confirmation & Receipt <br />What You Paid <br />Success! You have paid for all the items listed below. Your forms have been fled with the corresponding City/Cities shown. <br />Thank you for using FileLocal! The total payment will appear as multiple transactions paid to the appropriate Cities and FileLocal on <br />your bank or credit card statement. The Amount Due for each form will be deposited to the appropriate City, and the non- <br />refundable User Fee(s) will be deposited to FileLocal. The non-refundable KUBRA service fee for processing the transaction has <br />been added as shown below and will be retained by the payment processor, KUBRA. <br />An email confirmation will be sent to you by FileLocal. You may print this screen as your receipt, if desired. When finished, click <br />[Return to FileLocal]. You will be able to view and print each form from the FileLocal website, if needed. <br />Form Filing Period Amount Due Payment Conf. # <br />Name <br />Everett FileLocal User Fee ($4.00 per City Paid) <br />Everett GBL Application "Applied For" May 2022 $90.00 012804 <br />KUBRA-Everett Convenience Fee non-refundable $2.24 012805 <br />ReLocal <br />FileLocal User Fee ($4.00 per City Paid) non-refundable $4.00 012802 <br />Note: The Payment Confirmation Number indicates that your payment was successfully authorized. Note that you may have more <br />than one Payment Confirmation Number per City if that City separates funds into different receiving accounts. <br />How You Paid <br />KUBRA Service Fee: <br />Payment Amount: <br />Card Number: <br />Cardholder Name: <br />Expiration Date: <br />Billing Zip Code: <br />$2.24 non-refundable <br />$96.24 <br />Visa ************3522 <br />William Green <br />0526 <br />98024 <br />You may print this page for your records. An email confirmation will be sent from FileLocal. Click [Return to FileLocal] when <br />finished. <br />