If you're looking to create a form that has online bill pay functionality, you can use the following form template to get you started.

{"fields":[{"id":8,"form_id":4,"type":"text","name":"Full 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let us know any additional comments","help_text_position":1,"include_in_submission":0,"formatted_payment_amount":"$0.00","options":[],"rules":[]},{"id":13,"form_id":4,"type":"text","name":"Invoice 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Example output

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