Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014 Page 17

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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)
NON-OPERATING LAND, IMPROVEMENTS AND PERSONAL PROPERTY
Company Name___________________________________
For the Year Ended December 31, 2012
Operation______________________________________
County of___________________________
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COUNTY
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TAX AREA |
ASSESSOR'S PARCEL NUMBER
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DESCRIPTION
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FULL CASH VALUE
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CODE
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BOOK
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MAP |
PARCEL
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OF PROPERTY
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_________|___________|_________|______|____________|________________|_________________________|
DOR Form 82061-B (Rev. 11-12)
PAGE A17 OF A19

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