USD GoPay : Secure Payment Gateway

FREEDOM LINE LTD.
75-25 31st Ave East Elmhurst, NY 11370 718-937-6180 info@freedomlinebrokerage.com

Client Information
LOBSANG SAMTEN 4038 82Nd St Apt 3A Elmhurst, New York 11373
SAMTEN_NY@HOTMAIL.COM 9175612825

Policy Information
Carrier: AMERICAN TRANSIT Policy #: FPT007535 Policy Type: LIABILITY Policy Period: 08/12/2025 - 08/12/2026 Invoice Date: 02/05/2026 Payment Due Date: 02/15/2026

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Past Due
$0.00

Current Payment (Includes Past Due if Any)
$369.49

Description	Scheduled Amount	Installment Fee	Total Due	Due Date
Installment	$349.49	$20.00	$369.49	02/15/2026

Other
Balance : $1,479.36

( Min Amount : $369.49)

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Pay by Check $370.49 ($369.49 plus $1.00 USD GoPay Site Fee )

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By clicking Pay Now, I agree to the fee and the United Software Developers Inc. DBA USD GoPay Terms & Conditions.

*Please note while you will be paying your account with FREEDOM LINE LTD., the full amount of the $0.00 Site Fee is passed to USD GoPay as the provider of the service.