“Yo ____, bajo juramento o afirmación, digo que según mi leal saber y entender, la declaración que precede contiene una relación cabal, verdadera y completa de todos los bienes que tengo o poseo (o que poseo como socio o tengo en mi poder como depositario, administrador, tutor o encargado de un demente, o como agente) en el municipio de ____ y que toda la expresada propiedad ha sido descrita completa y equitativamente, y se ha manifestado su verdadero estado y valor y que todas las preguntas hechas con respecto a dicha propiedad han sido contestadas del todo diciendo la verdad; que no he procurado en ningún caso, inducir en error al referido tasador respecto a la cantidad y calidad de dichos bienes; que no he convertido ni cambiado, directa ni indirectamente, ninguna parte de mi propiedad por otra exenta de contribución, ni por garantías de ninguna especie con el propósito de evadir su tasación para el pago de contribuciones.
____
Suscrito y jurado ante mí, hoy ____ de ____ de 19 ____.
____
Tasador”
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