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PLC:

a0020h

Agency:

village of hartville

For:

income tax

Phone:

330-877-9222

Address:

202 west maple street
hartville, ohio 44632

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*Name:

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*Last:

*Address:

*City:

*State:

*Zip:

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

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*Zip:

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*Credit/Debit Card:

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

*Expiration Date:

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