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ION AS OF 12:01 A.M., JANUARY 1, 2014 This statement must be completed, signed, and filed with the State-Assessed Properties Division, Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0061, by March 1, 2014. Omit cents; round to the nearest dollar. OFFICIAL REQUEST NAME, STREET, CITY, STATE and ZIP CODE This request is made in accordance with section 826 of the Revenue and Taxation Code. This property statement must be completed c a cording to the instructions and filed.

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