Form Ab-8 - Application For Separate Assessment Of Undivided Interest In Mining Claim Property Page 2

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MONTANA
AB-8
Rev. 4/07
ADDENDUM TO APPLICATION FOR SEPARATE ASSESSMENT OF
UNDIVIDED INTEREST IN MINING CLAIM PROPERTY
15-7-138, MCA
_____________________________ County
Co-Owner Information
Percent of Undivided Interest _________ %
_________________________________________
________________________________________
Signature
Printed Legal Name
_________________________________________
________________________________________
Mailing Address
City, State, Zip
For Department Use Only
Assessment Code: ____________________________
Geocode: ______________________________
Co-Owner Information
Percent of Undivided Interest _________ %
_________________________________________
________________________________________
Signature
Printed Legal Name
_________________________________________
________________________________________
Mailing Address
City, State, Zip
For Department Use Only
Assessment Code: ____________________________
Geocode: ______________________________
Co-Owner Information
Percent of Undivided Interest _________ %
_________________________________________
________________________________________
Signature
Printed Legal Name
_________________________________________
________________________________________
Mailing Address
City, State, Zip
For Department Use Only
Assessment Code: ____________________________
Geocode: ______________________________

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