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PLC:

a0043i

Agency:

incorporated village of laurel hollow

For:

tax

Phone:

516-692-8826

Address:

1492 laurel hollow road
laurel hollow , new york 11791

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*Taxpayer Name:

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*Last:

*Bill #:

*Bill # Amount:

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Subtotal:

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Total:

$0.00

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*First Name:

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*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:

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