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PLC:

a003w1

Agency:

town of barton

For:

property tax onsite

Phone:

607-565-2261 x5

Address:

304 route 17c
waverly, new york 14892

*Required Field

Payment Information

*Taxpayer Name:

Middle:

*Last:

*Map Number # 1:

* Map Number # 1 Amount:

Map Number # 2:

Map Number # 2 Amount:

Map Number # 3:

Map Number # 3 Amount:

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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