OFFER FORM 505 31 100.PDF

PARCEL OFFER FORM
TAX-DEEDED LAND "PREVIOUSLY OFFERED PARCEL" SALE
Parcel Number: 505-31-100
The following descriptions and considerations will be presented to the Board of Supervisors, for final
approval for the sale of the parcel:
Offer of $280.00
Offer Submitted by: If accepted by the Board of Supervisors the
Deed to be issued in the name of:
Town of Wickenburg Town of Wickenburg
Name Name
155 North Tegner Street 155 North Tegner Street
Address Address
Wickenburg, AZ 85390 Wickenburg, AZ 85390
City, State & Zip Code City, State & Zip Code
928 -668 -05120 Mail Recorded Deed to the Following:
Phone Number
sboyle@wickenburgaz.org Gloria Leija
Email Address Name
155 North Tegner Street
Address
Wickenburg, AZ 85390
Signature'of fr111141L he 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:
Cashier's Check/Money Order Number: €03‘776-%1
Cash — Treasurer's Reccipt Number
Treasurer's Office Initial
For Official Use Only (Clerk of the Board)
After Board of Supervisors' action regarding the offer:
ri Clerk Certificate of Board action is attached. Forward to Treasure's Office.
COB Initials