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PLC:

a00409

Agency:

town of holland sheboygan county

For:

property tax payments

Phone:

920-668-6625

Address:

w3005 county road g
cedar grove, wisconsin 53013

*Required Field

Payment Information

*Property Owner Name:

Middle:

*Last:

*Parcel Number 1:

*Parcel Number 1 Amount:

Parcel Number 2:

Parcel Number 2 Amount:

Parcel Number 3:

Parcel Number 3 Amount:

Parcel Number 4:

Parcel Number 4 Amount:

Parcel Number 5:

Parcel Number 5 Amount:

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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