Dor Form 82051 - Property Tax Form - Railroad Companies - 2014 Page 6

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Confidential
ARIZONA DEPARTMENT OF REVENUE
TAX YEAR 2014
TAXPAYER NAME: _____________________
TAXPAYER NUMBER 51-______
PROPRIETARY INFORMATION
Company Name:
Tax ID:
Refer all correspondence to:
Name:
Title:
Address:
City:
State:
Zip Code:
Telephone No.:
Fax No.:
E-mail Address:
Name of Arizona Manager:
Address:
City:
State:
Zip Code:
Telephone No.:
Fax No.
Type of Company:
Type of Ownership:
Corporation:
Organization Year:
Partnership:
Organization State:
Individual:
Year Arizona Operations Commenced:
Other Specify:
Are you regulated by a regulatory agency?
No
Yes
By which agency?
Comments:
DOR Form 82051 (Rev. 01/13)
Page 6

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