Boat Dock Information Form For Benton County, Ar Assessor'S Office Page 2

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*Taxpayer’s signature:
_______________________________________________
Date:
_________
*Taxpayer’s mail address: ________________________________________________
*Taxpayer’s telephone number:
(_________)____________________
*The above information is accurate to the best of my knowledge.*
___________________________
_____________________________
___________
(Print Buyer’s Name)
(Buyer’s Signature)
Date
___________________________
_____________________________
___________
(Print Buyer’s Name…if owned
(Buyer’s Signature…if owned
Date
by 2 people)
by 2 people)
___________________________
______________________________
___________
(Print Seller’s Name)
(Seller’s Signature)
Date
___________________________
______________________________
___________
(Print Seller’s Name…if owned
(Seller’s Signature…if owned
Date
by 2 people)
by 2 people)
Assessor’s Office
___________________________
____________________________________
(Print Real Estate Deputies’ Name)
(Real Estate Deputies’ Signature)
Date Processed ___________
*Must be filled in.
(Note this form does not take the place of a bill of sale. If dock is newly constructed please contact our office for additional documentation
needed)

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