Dor Form 82051 - Property Tax Form - Railroad Companies - 2014 Page 13
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13VERIFICATION
State of
County of
I,
, being duly sworn, upon my oath say that I am
the
of the
and that
the information contained in this report is complete, true and correct, according to the best of
my knowledge, information and belief.
Further, the Taxpayer waives its rights to confidentiality under A.R.S. §§ 42-2001 through
42-2004 with respect to tabs 6, 7 and 8 (pages 10, 11, and 12) of this report, and consents
to the disclosure of such information to County Assessors and their personnel by the Arizona
Department of Revenue in order to assure that all property is properly assessed and to help
protect against double assessments.
Signature
Subscribed in my presence and sworn to before me, a Notary Public, in and for said County and
state, by
on this the
day of
, a.d. 20
.
My commission expires
, 20
In Witness Whereof, I have hereunto set my seal of office.
Signature
DOR Form 82051 (Rev. 01/13)
Page 13
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