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PLC:

a0051c

Agency:

whitpain township tax collector

For:

tax certificates

Phone:

610-492-9191

Address:

960 wentz road
blue bell, pennsylvania 19422

*Required Field

Payment Information

GENERAL INFORMATION: Tax Certification Fee: $15.00* *If paid by credit card there is a $1.00 non-refundable fee added to pay a third party vendor *If paid by e-check there is a $0.50 non-refundable fee added to pay a third party vendor.

*Requestor's Name:

Company Name:

*Requestor's Phone Number:

(### - ### - ####)

Tax Certifications will be emailed to the Requestor.

*Requestor's Email Address:

*Parcel #:

*Property Owner Name:

*Property Address::

*City:

*State:

*Zip:

*Sale/Refinance/Other:

If Sale, settlement date:

(Month / Day / Year)

Tax Certification Fee: $15.00* *If paid by credit card there is a $1.00 non-refundable fee added to pay a third party vendor *If paid by e-check there is a $0.50 non-refundable fee added to pay a third party vendor.

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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