Property Tax Form 82054 (Ree) - Renewable Energy Equipment - 2014 Page 11
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14ARIZONA DEPARTMENT OF REVENUE PROPERTY TAX FORM
RENEWABLE ENERGY EQUIPMENT
TAX YEAR 2014
Company Name
CVP Taxpayer ID
STATEMENT OF ORIGINAL COST
Year Ending December 31, 2012
(For use only by companies reporting improvement cost for the first time)
(Report original cost of all owned and leased operating property within the State of Arizona)
(Include all CWIP cost and Materials & Supplies)
Tax Area
Real
Personal
Line
Code
Improvements
Property
Total Original Cost
County Name
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DOR Form 82054R (Rev 12/12)
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