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S.) Month & Year Page of pages Send original with payment to: County Tax Office name and address Phone (area code & number) Send copy to: Appraisal District name and address Phone (area code & number) STEP 1: OWNER S NAME AND ADDRESS Owner s phone (area code & number) Owner s name Current mailing address (number and street) City, town or post office, state, ZIP code Person completing statement Title STEP 2: INFORMATION ABOUT THE BUSINESS Give appraisal district a.

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