Form Dor 82130aaa - Agency Authorization Continuation Form

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AGENCY AUTHORIZATION CONTINUATION FORM
DESIGNATION DATE _______________
FOR VALUATION YEAR: _______
DESIGNATION BY: _____________________________________________________________________________________________________
(Name of Person Owning, Controlling or Possessing Property)
AGENT NAME / FIRM: ___________________________________________________________________________________________________
PERSONAL PROPERTY
COUNTY
BOOK-MAP-PARCEL
COUNTY
BOOK-MAP-PARCEL
COUNTY
BOOK-MAP-PARCEL
ASSESSMENT ACCOUNT
County Name and Number: (01) Apache
(02) Cochise
(03) Coconino
(04) Gila
(05) Graham
(06) Greenlee
(07) Maricopa
(08) Mohave
(09) Navajo
(10) Pima
(11) Pinal
(12) Santa Cruz
(13) Yavapai
(14) Yuma
(15) La Paz
DOR 82130AAA (3/04)

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