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2. Account Type
   -- Select One --Personal Property TaxReal Estate Tax

   Choose Account Type
3. Account Number*
4. PIN Number*
6. Legal Address of Real Estate Property
8. My mortgage company pays the Real Estate taxes for the above property.

   1. Yes
   2. No
10. Mortgage Company Name
    Please enter the name of your mortgage company.
12. Address
14. Address
16. City
17. State
18. Zip Code
20. I pay my own Real Estate taxes, please bill me directly.

    1. Yes
    2. No
22. First Name*
23. Last Name*
25. Address*
27. Address
29. City*
30. State*
31. Zip Code*
33. Prior Address*
35. City*
36. State*
37. Zip Code*
39. Phone Number*
40. Email Address
42. Comments and/or Additional Information
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

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