Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014

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CONFIDENTIAL
PROPERTY TAX FORM
MINES(OTHER THAN COPPER)
TAX YEAR 2014
=> DUE APRIL 1, 2013 <=
TO
STATE OF ARIZONA, DEPARTMENT OF REVENUE
Property Tax Division
Centrally Valued Property Unit
1600 West Monroe, 8th Floor
Phoenix, Arizona 85007
Phone: (602) 716-6071
Fax: (602) 542-4425
Email address: vfagan@azdor.gov
Year Ended December 31, 2012
OFFICIAL MAILING ADDRESS
(Please indicate corrections of name and address)
INSTRUCTIONS
This report form is required to be filed in order to provide the information necessary
for the determination of the full cash value of mining property valued under provisions
of ARS 42-14051.
Return the complete report, including this page. DO NOT DETACH ANY PAGES.
The
verification page must be signed and notarized for the report form to be considered
complete
This report, along with all attached schedules,including land printout and original cost
statement must be completed and returned to the above address by April 1, 2013, together
with any and all supplementary information, and, when applicable, copies of stockholder
reports, recent prospectus documents, and Securities and Exchange Commission 10-K Reports.
REFUSAL OR FAILURE TO FILE
FAILURE TO FILE a completed report ON OR BEFORE APRIL 1, or on the extended due date if
an extension is granted, will result in a valuation of one hundred five percent of the
prior year's full cash value or a value based upon other information available to the
Department. In addition, a penalty will be assessed in the amount of the lesser of
one-half of one percent of the value estimated by the Department or one hundred dollars
per day for each day the taxpayer fails to file the report. The number of days late will
be calculated from the original due date, April 1, 2013. (ARS 42-14052)
DOR Form 82061-B (Rev. 11-12)
PAGE A1 OF A19

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