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Terms Agreement

Payment

Receipt

Important Information

There is a service fee for processing payment(s) online or over the phone. The total charge amount will be displayed prior to submitting the payment. To make a payment by phone, please call (877) 793-7141 Mon - Fri 8am - 8pm and Sat - Sun 10am - 2pm EST.

Once you have submitted your payment, you will receive an email letting you know if your payment has been accepted or rejected.

**TAXES ARE DUE FOR EXISTING BUSINESSES ON 1/1/12 & DELINQUENT AT THE END OF FEBRUARY 2012. IF YOU ARE ATTEMPTING TO PAY AND YOU ARE DELINQUENT, PLEASE CONTACT LOGANSPORT PRIOR TO SUBMITTING PAYMENT. INCORRECT PAYMENTS WILL BE DECLINED**

Occupational Payment

Prior Year's Gross Income

Business Name

Physical Location Address

New or Existing Business

Amount

General Information

Please enter the following information about the person for whom you are making a payment.

International Address

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Last Name

Address 1

Address 2

Zip Code

City

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Phone

Birthdate

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Log Call Info

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Caller ID

Caller Name

Agent ID

SSID

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Comments

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