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					               COUNTY OF WILL                                                    PHONE (815) 740-4684
               PAT McGUIRE, WILL COUNTY TREASURER                                    FAX (815) 740-4695
               WILL COUNTY OFFICE BUILDING                                           TDD (805) 740-4681
               302 N. CHICAGO STREET, JOLIET, IL 60432-4059                 www.willcountytreasurer.com


                                   DISCOVER CARD PAYMENT FORM

♦ Payment may be made with Discover® Card in person, by phone or by mail to the address listed above.




                                         DISCOVER® CARD PAYMENT

PIN NUMBER:                          -           -            -        -            -
CREDIT CARD NUMBER:                          -                    -           -
EXPIRATION DATE:                     -               SIGNATURE:
NAME: ________________________________ TELEPHONE NUMBER: _____________________

  TAX AMOUNT      TAX AMOUNT     CONVENIENCE
    FROM              THRU           FEE                  TAX AMOUNT              $_______________
      $0.00           $500.00            $6.00
   $500.01          $1,000.00           $12.00
  $1,000.01         $2,000.00           $22.00            CONVENIENCE FEE         $_______________
  $2,000.01         $3,000.00           $29.00
  $3,000.01         AND UP              $38.00
                                                          TOTAL CHARGE            $_______________