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PLC:

a004p2

Agency:

town of keene

For:

tax payments

Phone:

518-576-4444

Address:

p o box 245
keene, new york 12942

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*Property Owner's Name:

Middle:

*Last:

*Account or Bill Number:

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*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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