Tax Payment Form

Payment Summary:
Date: 11/26/15
Payment Amount:
(HCAD) Harris County Appraisal District Number:
Credit Card Information:
Card Type:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]
Property Owner Information:
First Name:
Last Name:
Physical Street Address:
Phone Number:
Email Address:

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