GEMSTONE INVESTMENT MANAGEMENT
an affiliate of Thomsen & Thomsen Inc.
Please fill out the information listed below.  Make sure all information is filled out
correctly.  Choose which payment you are going to make.  You can only choose 1
payment.  If you need to make multiple payments such as ( Deposit and Rent ) then
you will have to fill out and submit the form again.
*Property Address:
*Last Name:
*First Name:
*Paying (Choose 1)
Please make sure that all the information is correct before you click on the Pay By IPN button.  All transactions
will be processed on the same day, unless you submit a payment on a National Banking Holiday, at which time
the payment will be recorded on the next business day.