Form Dor 82527 - Property Leased Or Rented From Inventory

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PROPERTY LEASED OR RENTED FROM INVENTORY
NOTE: SEE NEXT PAGE FOR INSTRUCTIONS
Page: _______ of _______
1. Licensed Dealer
Sales Tax License Number
2. Mailing Address
3. Location of Business
Telephone Number
4. Reporting County
5. Month
Year
FOR ASSESSOR’S USE ONLY
6.
7.
8.
9.
10.
11.
12.
13.
14
Equipment: Description
Suggested Retail
Number of
Location in
and Identifi cation
Year
Price or Acquisition
Days
County
Lessee
Number
Acquired
Cost
Removed
Percent
Full Cash Value
Prorated Value
From
Good
Inventory*
*ARS §42-19005 requires all retailers or wholesalers who periodically lease or rent inventory to fi le an affi davit / report with the County Assessor. The report is to be fi led by the tenth day
of each month for the preceding month’s activity.
I CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT STATEMENT OF THE RECORDS IN MY CONTROL.
SIGNATURE
DATE
TYPE OR PRINT NAME
TELEPHONE NUMBER
DOR 82527 (Revised 5/01)

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