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Chapter No. District No. Membership No. Name Address CityStateDaytime PhoneZipHome Phonemic AddressPayment is for: Renewal for 2023 Per Capita Tax ($45.00) # of Member(s) Initiating for 2023 Per Capita
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Gather all necessary documents such as income statements, receipts, and any other relevant financial paperwork.
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Submit the completed forms and any required payment to the local tax collector's office by the specified deadline.

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Local tax collector is a government official or entity responsible for collecting taxes at the local level.
Individuals or businesses located within a specific local jurisdiction may be required to file local tax collector based on their income or property ownership.
To fill out local tax collector, individuals or businesses typically need to provide information on their income, property, and other relevant financial details as required by the local jurisdiction.
The purpose of local tax collector is to raise revenue for the local government to fund public services and infrastructure projects.
Information such as income, property ownership, deductions, and other financial details may need to be reported on local tax collector forms.
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