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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Delinquent Tax List*

   1. Spreadsheet (XLS)

   An Invoice will be emailed after selection is made. Once payment has been received the data will be supplied in a Google link via email to an Spreadsheet (XLS) as requested.

   Fees: 
   Excel: $50

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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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