Form Dor 82917-C - Listing Of Land For This Lease - Continued

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AGRICULTURAL LEASE ABSTRACT - Continuation Page
Clear Form
This Document is Not Open to Public Inspection
File Date: _____________
County: _________________
Key Parcel: ____________________________
• First parcel listed on Page 2
LESSOR:
TENANT:
NAME - PLEASE PRINT
NAME - PLEASE PRINT
Listing of Land for this Lease - CONTINUED
A.
Deeded Land Owned by Lessor
Land Parcels
Acres Leased
***** ASSESSOR'S USE ONLY *****
Land Use
Item #
to Tenant
(see codes)
Assessor's Parcel ID Number
Parcel Size
Comment
PUC
B.
Deeded Land Leased to Lessor, Subleased to Tenant
Land Parcels
Acres Leased
Land Use
County
Owner's Name
Item #
to Tenant
(see codes)
Assessor's Parcel ID Number
C.
Government Land Leased to Lessor, Subleased to Tenant
Carrying Capacity
Annual
Acres Leased
Government Agency
Lease ID
e.g. Lease Number,
Item #
e.g. BLM, AZ State Land Dept
Permit Number, Allotment Number / Name
AUM's
to Tenant
DOR 82917-C (04/2013)

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