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This document is an Arizona property tax refund claim form for tax year 2001. It allows taxpayers to claim a refund for property taxes paid or rent paid in lieu of property taxes. The form collects information about the claimant's residency, income, property taxes or rent paid, and requests a signature to verify the accuracy of the information provided. It provides instructions for calculating the refund amount and includes schedules to determine the credit based on living situation and household income.

