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PLC:

a0039a

Agency:

town of stockholm

For:

tax

Phone:

715-495-1034

Address:

n2843 county road e
stockholm, wisconsin 54769

*Required Field

Payment Information

*Property Owner Name:

Middle:

*Last:

*Parcel #1:

Parcel #2:

Parcel #3:

Parcel #4:

Parcel #5:

*Phone #:

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

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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