106-23-084C USA HOMEOWNER OFFER.PDF

PARCEL OFFER FORM
TAX-DEEDED LAND "COMMON/CONTIGUOUS PARCEL" SALE
(Pursuant to A.R.S. §42-18303(F))
Parcel Number: 10b -"LS - 0-24c
The following descriptions and considerations will be presented to the Board of Supervisors, for final
approval for the sale of the parcel:
hr.)
Offer of $
Offer Submitted by: If accepted by the Board of Supervisors, the
Deed to be issued in the name of
USA VionAkOt,ontr,s' h I jo k..untitch.ovl usit 1-ioryLoyouyocuity kkt-11-0-4
Name rton • pro JO- Name ,
14tbd- 0)011)aa NW( 10D-- 14(9)-- 0_,010aoil MAk P4A7tL-r
Address Address
NOM qatl-xl ate Aq.
City, State & Zip Code & Zip Code
qt;-1-144-14-1
Mail Recorded Deed to the Following:
Phone Number
M C-t12-0 €,-)01'12.6). )\_,L
Email Address Name
Address
Signature of P n Making the Offer City, State 8, Zip Code
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: Maricapa County Treasurer prior to the processing of the offer and issuance
of the Deed (if offer accepted).
For Official Use Only (Treasurer's Office)
Payment received in the form of: U5P5 NADNeY cy—oeic 4249(02z 1 611a Ito
XtCashier's Check/Money Order Number:
Cash — Treasurer's Receipt Number
Treasurer's Office Initial
For Official Use Only (Clerk of the Board)
After Board of Supervisors' action regarding the offer:
1-1 Clerk Certificate of Board action is attached. Forward to Treasure's Office.
COB Initials