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PARCEL OFFER FORM
TAX-DEEDED LAND "COMMON/CONTIGUOUS PARCEL" SALE
(Pursuant to A.R.S. §42-18303 (F))
Parcel Number: Nb _(0
The following descriptions and considerations will be presented to the Board of Supervisors, for final
approval for the sale of the parcel:
Offer of $2S)
Offer Submitted by: If accepted by the Board of Supervisors, the
Deed to be issued in the name of:
4L-
Tm--) Q,A2k
C AIdd)ej\A Address
City, State & Zip Code City, ate & Zip bode
Mail Recorded Deed to the Following:
Phone Number
/Email Address 1 # ame A
fl
Address
ature of Person Makir70-he City, State & Zip C de
PLEASE NOTE:
The full amount of the offer must be submitted in cash or guaranteed funds (a Cashier's Check or Money
Order) and made payable to: Maricopa County Treasurer prior to the processin g of the offer and
issuance of the Deed (if offer accepted).
For Official Use Only (Treasurer's Office)
Payment received in the form of: fri&D-5 /541-E6o IAN 012DPit-
,{-faashier's Che Money Orde umber: 4; 6571 523431
Cash — Treasurer's Receipt Number
Treasurer's Office Initial -1gr
For Official Use Only (Clerk of the Board)
After Board of Supervisors' action regarding the offer:
Clerk Certificate of Board action is attached. Forward to Treasure's Office.
COB Initials