InstructionsNotice: All payments must be issued in US Funds. To avoid delay of funding visit www.JPay.com and make a money transfer online. • Type or write in black or blue ink only.

• Write clearly to avoid delays in processing your transaction.

• Verify that the prisoner name and ID are entered correctly on the deposit slip.

• Do not include any letters or notes with your payment because these will be discarded.

• Detach the deposit slip, the lower portion, at the the dotted line and mail with your money order/checks with guaranteed funds.

• PLEASE MAKE SURE ALL PAYMENTS ARE PAYABLE TO “JPAY”.

• Mail deposit slip and payments to JPay, P.O. Box 531190, Miami Shores, FL 33153.

• For additional information call 1 (866) 333-5729.

• Money Orders/checks with guaranteed funds will be accepted as payment.

• Payments may not exceed $999.99 in value.

Notice: Funds received from an unidentified source will be forwarded to the Department for processing. For full Terms and Conditions of held funds please visit www.jpay.com for full disclosure.

The deposit slip MUST BE included with payment to process funds and avoid delay.

Deposit Form

Type your information into the form below, then print and send it in with your payment✁ ✁ ✁

Deposit Slip

Mail to: JPay, P.O. Box 531190, Miami Shores, FL 33153 Sender’s Address

_____________________________________

_____________________________________

City _________________________________

State _______________ Zip ____________

Email ________________________________

Amount of Money (do not exceed $999.99)

Prisoner’s ID

Prisoner’s Full Name

Sender’s phone numberSender’s First Name

Sender’s Last Name

Prisoner’s State

M I

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