Pre-Sale Voucher - Provide Additional Information - Tax Collector of Escambia County

If you have paid for your voucher online, use this form to provide additional information to complete your purchase.

Purchaser's Name
First Last
Recipient's Name
First Last
May be same or different than purchaser. If this is a gift, the recipient's name will be different than the purchaser's name.
Phone*
We will use this, along with other information, to match to your payment. We will contact you if necessary to resolve any issues.
Email*
We will use this, along with other information, to match to your payment. We will contact you if necessary to resolve any issues.
Driver License # of Purchaser*
Driver license number of person purchasing the voucher.
Driver License # of Recipient*
May be the same as purchaser. If this voucher is a gift, the number will be different.
Is this purchase a gift?*
- Yes, this purchase is a gift
- No, This purchase is for my personal use.
If you are buying this voucher for another person, please indicate that by selecting yes or no.
Phone
This field is for validation purposes and should be left unchanged.