Form Dor 82520 - Arizona Business Property Statement - 2004

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2004 ARIZONA
ASSESSOR’S USE ONLY
BUSINESS
PROPERTY STATEMENT
COMPLETE IN FULL AND RETURN TO ASSESSOR
TAXPAYER/ACCOUNT NUMBER
LOC
CK
THIS STATEMENT IS CONFIDENTIAL
BY:
AND IS SUBJECT TO AUDIT BY THE
ASSESSOR. FAILURE TO COMPLETE
NEW TAXPAYER
MAILING DATE
AND RETURN BY THE REQUIRED
DATE WILL RESULT IN A PENALTY OF
§
10%,pursuant to A.R.S.
42-15053(F)(2)
AREA CODE
BOOK
MAP
PARCEL
SPL
CK
PRORATE
AP
10% penalty
YES
DO NOT MAKE CHANGES IN ADDRESS AREA- SEE SECTION 1 BELOW
IMPORTANT – READ FIRST! Before completing this form, please read the instructions
for information on reporting requirements and the amount of exemption.
SIGN SECTION 6 TO CLAIM THE EXEMPTION.
SECTION 1: COMPLETE THIS SECTION ONLY IF THIS IS A NEW BUSINESS OR IF THERE IS A CHANGE IN NAME AND/OR ADDRESS.
1
. BUSINESS NAME: ______________________________________________C/O________________________________________________________
2. ADDRESS_________________________________________________________CITY ______________________STATE ______ ZIP_____________
3. PROPERTY LOCATION ADDRESS____________________________________ CITY ______________________ STATE ______ ZIP ____________
4. BUSINESS TYPE (MANUFACTURING, OFFICE, RESTAURANT, ETC) __________________________ PRODUCT__________________________
5. DATE STARTED IN THIS COUNTY__________CONTACT PERSON________________________________PHONE(______)____________________
SECTION 2: DO NOT MAKE CORRECTION IN THIS SECTION. MAKE ALL CHANGES, ADDITIONS OR DELETIONS TO PROPERTY
COST LISTED BELOW IN SECTION 4. THE ACQUISITION COST OF PROPERTY REPORTED LAST YEAR IS LISTED BELOW BY
SCHEDULE AND YEAR ACQUIRED.
SCHED.
YEAR
ACQUISITION COST
CLASS
CODE
SCHED.
YEAR
ACQUISITION COST
CLASS
CODE
TAX PAYER: RETUTRN ORIGINAL FORM AND COPY BOTH SIDES FOR YOUR FILES
DOR 82520 (REVISED 10/03)

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