<p> DEBORAH HUGHES GILA COUNTY ASSESSOR 1400 E ASH STREET GLOBE, AZ 85501</p><p>REQUEST TO COMBINE TAX PARCELS</p><p>DATE:</p><p>I AM REQUESTING THE FOLLOWING TAX PARCELS BE COMBINED INTO ONE TAX PARCEL FOR PROPERTY TAX PURPOSES ONLY</p><p>TAX PARCEL NUMBERS:</p><p>OWNER'S NAME (PLEASE PRINT):</p><p>OWNER'S SIGNATURE: </p><p>MAILING ADDRESS:</p><p>PHONE NUMBER: </p><p>EMAIL:</p><p>IF YOU HAVE A MORTGAGE ON YOUR PROPERTY, PLEASE CHECK WITH YOUR LENDER BEFORE REQUESTING A COMBINATION OF THE PROPERTY.</p><p>TAXES UP TO DATE: (PLEASE CIRCLE ONE) YES NO</p><p>PLEASE CIRCLE WHICH APPLIES TO YOU:</p><p>PRIMARY RESIDENCE SECONDARY RESIDENCE</p><p>FAMILY MEMBER OCCUPIED RENTAL</p><p>Globe Main Office:(928) 402-8714 I Fax: (928) 425-0408 I Payson Field Office: (928) 472-7973 I Fax: (928) 468- 9762 Revised 4/2014</p>