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Box or Number and Street Report and payment is due the 15th day of the month following the month reported.", "reading_order": 7 }, { "page": 1, "type": "TEXT", "location": { "l": 457.68, "t": 722, "r": 579.6, "b": 701.76 }, "text": "Account Number", "reading_order": 8 }, { "page": 1, "type": "TEXT", "location": { "l": 116.28, "t": 615.8222, "r": 588.48, "b": 589.7778 }, "text": "City State ZIP Code", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 589.7778, "r": 588.48, "b": 563.7333 }, "text": "LIST ANY ADDED OR REMOVED VEHICLES ON THE BACK OF THIS REPORT", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 563.7333, "r": 588.48, "b": 537.6889 }, "text": "Current Vehicles Used as Loaners/Rentals", "reading_order": 11 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 537.6889, "r": 588.48, "b": 511.6444 }, "text": "Line # Vehicle Identification Number Line # Vehicle Identification Number", "reading_order": 12 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 511.6444, "r": 588.48, "b": 485.6 }, "text": "1 ---------- 12 ----------", "reading_order": 13 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 485.6, "r": 588.48, "b": 459.5556 }, "text": "2 ---------- 13 ----------", "reading_order": 14 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 459.5556, "r": 588.48, "b": 433.5111 }, "text": "3 ---------- 14 ----------", "reading_order": 15 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 433.5111, "r": 588.48, "b": 407.4667 }, "text": "4 ---------- 15 ----------", "reading_order": 16 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 407.4667, "r": 588.48, "b": 381.4222 }, "text": "5 ---------- 16 ----------", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 381.4222, "r": 588.48, "b": 355.3778 }, "text": "6 ---------- 17 ----------", "reading_order": 18 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 355.3778, "r": 588.48, "b": 329.3333 }, "text": "7 ---------- 18 ----------", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 329.3333, "r": 588.48, "b": 303.2889 }, "text": "8 ---------- 19 ----------", "reading_order": 20 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 303.2889, "r": 588.48, "b": 277.2444 }, "text": "9 ---------- 20 ----------", "reading_order": 21 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 277.2444, "r": 588.48, "b": 251.2 }, "text": "10 ---------- 21 ----------", "reading_order": 22 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 251.2, "r": 588.48, "b": 225.1556 }, "text": "11 ---------- 22 ----------", "reading_order": 23 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 225.1556, "r": 588.48, "b": 199.1111 }, "text": "VEHICLES MUST ALSO BE ADDED OR REMOVED IN AVIS THROUGH THE COUNTY CLERK'S OFFICE.", "reading_order": 24 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 21.84, "t": 199.1111, "r": 588.48, "b": 173.0667 }, "text": "Number of Vehicles (Current + Added + Removed).......... ..........................................", "marker": "1.", "list_id": "L1", "level": 0, "reading_order": 25 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 21.84, "t": 173.0667, "r": 588.48, "b": 147.0222 }, "text": "Tax Due (multiply line 1 by 25.00)................. ..........................................", "marker": "2.", "list_id": "L1", "level": 0, "reading_order": 26 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 21.84, "t": 147.0222, "r": 588.48, "b": 120.9778 }, "text": "Adjustments (attach documentation)................. ..........................................", "marker": "3.", "list_id": "L1", "level": 0, "reading_order": 27 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 21.84, "t": 120.9778, "r": 588.48, "b": 94.9333 }, "text": "Interest (see instructions)......................... ..........................................", "marker": "4.", "list_id": "L1", "level": 0, "reading_order": 28 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 21.84, "t": 94.9333, "r": 588.48, "b": 68.8889 }, "text": "Penalty (see instructions)......................... ..........................................", "marker": "5.", "list_id": "L1", "level": 0, "reading_order": 29 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 68.8889, "r": 588.48, "b": 42.8444 }, "text": "Total Amount Due ........................... > ..........................................", "reading_order": 30 }, { "page": 1, "type": "TEXT", "location": { "l": 21.84, "t": 42.8444, "r": 588.48, "b": 16.8 }, "text": "The above statements are hereby certified to be correct to the best knowledge and belief of the undersigned who is duly authorized to sign this report. 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73A055 (4-21)Page 2
Vehicles ADDED as Loaners/Rentals
Line #Vehicle Identification NumberYearMakeModelMileage
1
2
3
4
5
6
7
8
9
10
Vehicles REMOVED as Loaners/Rentals
Line #Vehicle Identification NumberYearMakeModelMileage
1
Reason
2
Reason
3
Reason
4
Reason
5
Reason
6
Reason
7
Reason
8
Reason
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