Dor Form 82061-A - Property Tax Form - Cooper Mines - 2014 Page 22
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25BY SIGNING THE VERIFICATION PAGE, THE TAXPAYER WAIVES THE CONFIDENTIALITY REQUIREMENTS OF
A. R. S. SECTIONS 42-2002 THROUGH 42-2006 WITH RESPECT TO THIS PAGE (INCLUDING SUPPLEMENTAL
SCHEDULES RELATED TO THIS PAGE) AND CONSENTS TO THE DISCLOSURE OF THE CONTENTS OF THIS PAGE
TO COUNTY ASSESSOR PERSONNEL BY THE DEPARTMENT OF REVENUE.
COPPER MINES
LEASED LANDS SCHEDULE
Company Name:_____________________________
County of __________________________
Operation: __________________________
For the Year Ended December 31, 2012
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LEASE TYPE
|
DESCRIPTION &
LOCATION
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ACREAGE
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ANNUAL PAYMENT
|
TERM OF LEASE
NUMBER
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SECTION,TOWNSHIP,RANGE
|
|
|
IN YEARS
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DOR Form 82061-A (Rev. 11-12)
PAGE A22 OF A25
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