219-21-004V SHAW COUNTER OFFER.PDF

PARCEL OFFER FORM
TAX-DEEDED LAND "PREVITLY OFFERED PARCEL" SALE
Parcel Number:
The following descriptions and considerations will be presented to the Board of Supervisors, for final
approval for the sale of the parcel:
Offer of $ 3C0
Offer Submitted by: If accepted by the Board of Supervisors the
Deed to be issued in the name of:
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Name Name
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Address Address
Ai 2C7 AZ-- e52__-07
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City State & Zio Code City, State & Zip Code
Mail Recorded Deed to the Following:
Phinnc. Nli imhor
shitkAi
Email Address Name
313
Address
Meck 42— 5--)__)2)7
City, State & 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: Maricopa County Treasurer prior to the processing of the offer and
issuance of the Deed (if offer accepted).
For Official Use Only (Treasurer's Office)
$300 -42"1
Payment received in the form of:
Cashier's Check/Money Order Number: 6144.5e (Aga_ 41' 9 0 53373 I
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:
Clerk Certificate of Board action is attached. Forward to Treasure's Office.
COB Initials