Property Tax Form 82050 - Electric Generation Companies - 2014 Page 14
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14PROPERTY TAX FORM
ELECTRIC GENERATION COMPANIES
TAX YEAR 2014
Verification
Plant Name
State of
County of
I,
, being duly sworn, upon my oath say that I am
the
of the
(Title)
(Company Name)
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 7, 8, and 9 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.
2013 .
In Witness Whereof, I have hereunto set my seal of office.
Signature
DOR Form 82050 (Rev 12/12)
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