Property Tax Form 82504 - Electric Transmission & Distribution Companies And Gas Distribution Companies - 2014 Page 3
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12CONFIDENTIAL
ARIZONA PROPERTY TAX FORM
ELECTRIC TRANSMISSION & DISTRIBUTION COMPANIES
AND GAS DISTRIBUTION COMPANIES
TAX YEAR 2014
PROPRIETARY INFORMATION
Company Name
CVP Tax ID
Refer all correspondence to:
Name:
Title:
Address:
City, State Zip Code:
Telephone No.:
Fax No.:
Email Address:
Name of Arizona Manager:
Address:
State:
Zip Code:
City:
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?
Yes
N o
By which agency?
Comments:
DOR Form 82054 (Rev 12-12).xls Proprietary Information-Tab 1
Page 1 of 9
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