Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014 Page 15

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BY SIGNING THE VERIFICATION PAGE, THE TAXPAYER WAIVES THE CONFIDENTIALITY REQUIREMENTS
OF A.R.S. SECTIONS 42-2001 THROUGH 42-2004 WITH RESPECT TO THIS PAGE AND CONSENTS TO
THE DISCLOSURE OF THE CONTENTS OF THIS PAGE TO COUNTY ASSESSOR PERSONNEL BY THE
DEPARTMENT OF REVENUE.
MINES(OTHER THAN COPPER)
LEASED EQUIPMENT SCHEDULE
Company Name___________________________________
For the Year Ended December 31, 2012
Operation______________________________________
County of___________________________
------------------------------------------------------------------------------------------------------
DESCRIPTION| LIFE|
SERIAL
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| LEASE TERM
| LEASE | LEASE |LEASE | ORIGINAL |PURPOSE
|
|
NUMBER
| LESSOR | START|
END |PAYMENT|EXPENSE| TYPE |
COST
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TOTAL
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PURPOSE REFERS TO REPLACEMENT--R, EXPANSION--X, OR ENVIRONMENTAL--E
NOTE:INCLUDE ORIGINAL COST OF LEASED EQUIPMENT BY TYPE OF EQUIPMENT ON SCHEDULE OF
DEPRECIABLE ASSETS, PAGES 11 AND 12.
DOR Form 82061-B (Rev. 11-12)
PAGE A15 OF A19

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