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PLC:

a0038x

Agency:

town of bayfield

For:

short term rentals and room tax

Phone:

715-779-5671

Address:

85450 county highway j
bayfield, wisconsin 54814

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*Taxpayers Name:

Middle:

*Last:

*Tax ID #:

*Payment Type:

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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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