Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014 Page 4
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19BY 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 (INCLUDING SUPPLEMENTAL
SCHEDULES RELATED 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)
Company Name___________________________________
For the Year Ended December 31, 2012
PROPERTY LIST - OPERATING LAND (PER ARS SECTION 42-14051)
Indicate TYPE of land by letter designation--P for patented claims and fee land, U for
unpatented lands, S for severed mineral rights, L for lease lands, R for rights of way,
O for other ownership rights.
Entries should include any and all lands acquired during the year that are nor listed
on the accompanying copy of the DOR land printout (PS-1220-12).
______________________________________________________________________________________
| COUNTY | BOOK | MAP | PARCEL |
TAX AREA
|
TYPE
|
ACRES
|
LEGAL DESCRIPTION
|
|________|______|_____|________|____CODE____|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
|________|______|_____|________|____________|________|_________|_______________________|
DOR Form 82061-B (Rev. 11-12)
PAGE A4 OF A19
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