Form Pta 200 - Assessors' Certification Of Assessment Page 2

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You are to pay to _____________________________________________________, the Municipal
Treasurer, or to any successor in office, the taxes herewith committed, paying on the last day of each
month all money collected by you, and you are to complete and make an account of your collections
of the whole sum on or before __________________________.
mm/dd/yy
In case of the neglect of any person to pay the sum required by said list until after ______________;
mm/dd/yy
you will add interest to so much thereof as remains unpaid at the rate of ________________ percent
per annum, commencing __________________ to the time of payment, and collect the same with the
mm/dd/yy
tax remaining unpaid.
Given under our hands, as provided by a legal vote of the Municipality and Warrants received
pursuant to the Laws of the State of Maine, this ______________________.
mm/dd/yy
________________________________________________ Assessor(s) of:__________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
CERTIFICATE OF COMMITMENT
To___________________________________, the Collector of the Municipality of
_________________________________, aforesaid.
Herewith are committed to you true lists of the assessments of the Estates of the persons wherein
named; you are to levy and collect the same, of each one their respective amount, therein set down,
of the sum total of $__________________________ (being the amount of the lists contained herein),
according to the tenor of the foregoing warrant.
Given under our hands this ________________________.
mm/dd/yy
________________________________________________ Assessor(s) of:___________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Complete in Duplicate. File original with Tax Collector. File copy in Valuation Book
PTA 200 (03/10)

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