Form Ms-1 - Summary Inventory Of Valuation - 2000

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MS-1
STATE OF NEW HAMPSHIRE
DEPARTMENT OF REVENUE ADMINISTRATION
MUNICIPAL SERVICES DIVISION
PO BOX 487
CONCORD, NH 03302-0487
For information call: (603) 271-2687
2000
SUMMARY INVENTORY OF VALUATION
CITY/TOWN OF
IN
COUNTY
TELEPHONE #
CERTIFICATE
This is to certify that the information contained in this report was taken from official records and is correct to the best of our knowledge and belief. RSA 21-J:34
SIGNATURES THIS SIDE
PLEASE PRINT NAME IN THIS COLUMN
(Please Sign in Ink)
Date
Check one:
Selectmen
Assessors
REPORTS REQUIRED: RSA 21-J:34, as amended, provides for certification of valuations, appropriations, estimated revenues and such other information as the
Department of Revenue Administration may require upon forms prescribed for that purpose.
Return this completed Summary Inventory form to the Dept. of Revenue Administration, P.O. Box 487, Concord, NH 03302-0487 by September 1st.
You may duplicate Page 6 for each district whose valuation differs from the Town/City valuation; Please note the name of the district at the top of each Page 6
provided. Thank you.
PENALTY: FAILURE TO FILE THIS FORM OR AN EXTENSION (RSA21-J:34,I) BY SEPTEMBER 1st COULD RESULT IN $5.00
PER DAY PENALTY FOR EACH DAY’S DELAY. (RSA 21-J:36)
NOTE: PLEASE REMEMBER TO COMPLETE INFORMATION ON PAGE 3, 4 and 5 (ALSO PAGE 6, IF APPLICABLE) OF THIS
REPORT.
Official Use Only - Do Not Write In Spaces Below
Date
Initial Entry
Assigned to
Completed by
Sent to Pa for
Revision
Sent to PA
Filed
Received
PA
MS
MS
Review
Away
Revised 2000
MS-1
1
Rev. 8/00

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