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PARCEL OFFER FORM TAX-DEEDED LAND "PREVIOUSLY OFFERED PARCEL" SALE Parcel Number: 506-58-115D The following descriptions and considerations will be presented to the Board of Supervisors, for final approval for the sale of the parcel: Offer of $ Offer Submitted by: If accepted by the Board of Supervisors the Deed to be issued in the name of: Mark Ivan ich Mark Ivanich Name Name 12206 N. 26'h Place 12206 N. 266 Place Address Address Phoenix, AZ 85032 Phoenix, AZ 85032 City, State & Zip Code City, State & Zip Code 602-971-5667 Mail Recorded Deed to the Following: Phone Number markjive@cox.net Mark Ivanich Email Address Name 12206 N. 26'1' Place Address Phoenix, AZ 85032 Signature of Person Making the Offer 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) Payment received in the form of: 0...Cashier's Check/Money Order Number: Oto3z5O.255/ n Cash — Treasurer's Receipt Number Treasurer's Office Initial yj gp For Official Use Only (Clerk of the Board) After Board of Supervisors' action regarding the offer: pi Clerk Certificate of Board action is attached. Forward to Treasure's Office. COB Initials