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PLC:

a003j9

Agency:

town of dorset

For:

dorset tax payments

Phone:

802-362-4571

Address:

112 mad tom road
dorset, vermont 052583

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*Taxpayer Name:

Middle:

*Last:

Taxpayer Dorset VT Address:

City:

State:

Zip:

Contact Phone #:

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

*Parcel # 1:

Parcel # 2:

Parcel # 3:

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*Payment Type:

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

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*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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