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Humboldt County Real Roll Adjustment Form Date: February 28, 2013, Fire District: 1.0 15-214-32 Parcel Number: Date changed on the roll: Taxpayer: GIULIANI LORRAINE REVOCABLE TR Initials of person

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What is date changed on form?

Date changed on form refers to the date when a change was made to the form.

Who is required to file date changed on form?

Any individual or entity who made a change on the form is required to file date changed on form.

How to fill out date changed on form?

Date changed on form should be filled out by entering the new date of the change in the specified field.

What is the purpose of date changed on form?

The purpose of date changed on form is to track and document when changes were made to the form.

What information must be reported on date changed on form?

The only information required to be reported on date changed on form is the new date of the change.

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