| Payment ID | 115341 |
|---|---|
| Date Created | 07/15/25 10:35 pm |
| Created By | Gloria Jimenez |
| Service Request | 114932 |
| Application ID | 109833 |
| Authorization Number | 226711 |
| Applicant Information | |
| Name | Errol Chanceler |
| Agency Name | Veterans Administration |
| Agency Code | 220308 |
| Agency | Veterans Administration |
| Agency Email Address | Email hidden; Javascript is required. |
| Applicant Email Address | Email hidden; Javascript is required. |
| Unique Identifier | 16170605177 |
| Payment Type | Security Deposits, Pet Deposits and App Fees |
| Type of Service Request | Application Fees |
| Provider Name | CIF Real Estate Services, INC. |
| Contact Name | Stacy Whitney |
| Contact Email | Email hidden; Javascript is required. |
| Address | 416 Sapphire Blvd Hewitt, Texas 76643 Map It |
| Phone | (254) 756-2957 |
| Acceptable Method of Payment | Check |
| Payment Details | |
| Payment Amount | $50.00 |
| Bank Fees | No |
| Receipt Amount | $51.00 |
| Receipt Date | 07/15/2025 |
| Comments | application paid plus a bank fee of $1.00 for money order |
| Receipt | |
| Staff Name | Gloria Jimenez |
| Case Manager | DL |
| Case Worker Email | Email hidden; Javascript is required. |
| Verifier Name | Gloria Jimenez |
| Verifier Signature | |
| Date Verified | 07/15/2025 |
