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| BUSINESS NAME: |
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| CARE OF NAME: |
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| MAILING ADDRESS: |
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SUITE: |
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| CITY: |
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STATE: |
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ZIPCODE: |
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| CONTACT NAME: |
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CONTACT EMAIL: |
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| CONTACT PHONE: |
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BUSINESS WEBSITE: |
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| LOCATION ADDRESS: |
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SUITE: |
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| CITY: |
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ZIPCODE: |
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| PARCEL # |
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TYPE OF BUSINESS: |
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| FEIN # |
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| DATE STARTED AT THIS LOCATION: |
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DAY: |
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MONTH: |
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YEAR: |
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| OTHER LOCATIONS IN ARIZONA, (INCLUDE ACCOUNT #'S) : |
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( ATTACH LISTING FOR MORE LOCATIONS ) |
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| NAME OF COUNTY IN WHICH YOU ARE CLAIMING EXEMPTION: |
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| ( EACH ELIGIBLE TAXPAYER IS ENTITLED TO ONE STATEWIDE EXEMPTION ) |
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| ))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))) |
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| Business Personal Property Taxes in Arizona are a lien against the Equipment as well as the |
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| Owner. Report all equipment for the current Tax Year which was owned by your business as of |
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| December 31st, of the prior year. Please attach a copy of your asset listing with this |
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| Self-Reporting Form. If your business does not maintain a fixed asset listing, please use the |
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| attached page to list all equipment owned by your business, and operated at the above listed |
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| new location. For Multiple locations see the E-Filing Statement on the Assessor's Personal |
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| Property Website. |
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| Please direct all questions concerning the above to the Maricopa County Assessor's Office, |
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| Personal Property Division at 602-506-3386. Fax number: 602-506-7335 |
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| Complete this form and mail all information to: |
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MARICOPA COUNTY ASSESSOR'S OFFICE |
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PERSONAL PROPERTY DIVISION |
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301 W JEFFERSON ST, SUITE 330 |
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PHOENIX, AZ 85003-2196 |
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