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PLC:

a001th

Agency:

town of delhi

For:

town & county tax payments

Phone:

607-746-8696

Address:

5 elm street
dehhi, new york 13753

*Required Field

Payment Information

*Property Owner Name:

Middle:

*Last:

*Tax Map # 1:

*Tax Map # 1 Amount:

Tax Map # 2:

Tax Map # 2 Amount:

Tax Map # 3:

Tax Map # 3 Amount:

Tax Map # 4:

Tax Map # 4 Amount:

Notes:

Payment Amount

*Payment Type:

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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