Form Dor 82179bb - Taxpayer Notice Of Claim - Real Property Multiple Parcel Form

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TAXPAYER NOTICE OF CLAIM - REAL PROPERTY
FOR OFFICIAL USE ONLY
MULTIPLE PARCEL FORM
Pursuant to A.R.S. § 42-16254
NUMBER ____________________________
• Parcels included in this claim must be part of the same economic unit with common characteristics, use and location. All parcels must have the
same basis for the claim, although estimates of values may vary.
• For each parcel listed, state the current legal classifi cation, assessment ratio, land full cash value, improvement full cash value, total full cash value
(sum of land and improvement FCV) and limited property value in the “FROM” section. State any changes you are requesting in the “TO” section.
Keep a copy for your records.
TOTAL NUMBER OF PARCELS INCLUDED IN THIS CLAIM: ______
LEAD PARCEL: BOOK / MAP / PARCEL __________ - ________ - _________
BOOK / MAP / PARCEL __________ - ________ - _________
TO
FROM
TAX
TAX
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
TOTAL
CLASS
RATIO
FCV
FCV
LPV
CLASS
RATIO
FCV
FCV
FCV
LPV
BOOK / MAP / PARCEL __________ - ________ - _________
FROM
TO
TAX
TAX
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
TOTAL
CLASS
RATIO
FCV
FCV
LPV
CLASS
RATIO
FCV
FCV
FCV
LPV
BOOK / MAP / PARCEL __________ - ________ - _________
TO
FROM
TAX
TAX
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
TOTAL
CLASS
RATIO
FCV
FCV
LPV
CLASS
RATIO
FCV
FCV
FCV
LPV
BOOK / MAP / PARCEL __________ - ________ - _________
FROM
TO
TAX
TAX
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
YEAR
LEGAL
ASSMT
LAND
IMPS
TOTAL
TOTAL
CLASS
RATIO
FCV
FCV
LPV
CLASS
RATIO
FCV
FCV
FCV
LPV
__________________________________________________________________
______________________________
SIGNATURE OF OWNER OR REPRESENTATIVE
DATE
DOR 82179BB (02/10)

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