Form 801b - Assessor Notification Property Claimed For More Than 12 Years - 2011 Page 2
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2MAINE REVENUE SERVICES
PRESORTED
24 STATE HOUSE STATION
STANDARD MAIL
U.S. POSTAGE
AUGUSTA, ME 04333-0024
PAID
PERMIT NO. 8
AUGUSTA, ME
2011
2011
ASSESSOR NOTIFICATION
Form 801B
PROPERTY CLAIMED FOR MORE THAN 12 YEARS
(page 2)
SECTION 3. Property Tax Information (To be completed by local tax assessor.)
Property Tax Rate ___________________ Assessed Tax $ _____________________ For Taxes Assessed April 1, ___________
Assessor Signature ________________________________ Municipality Name _______________________ Date ___________
_________________________________________
______________________________________
________________
Taxpayer (or agent) Signature
Social Security Number or Federal EIN (see note, p.4)
Date
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