Form 427-2012 - Report Of Village/fire District Clerk Tax Year 2012 Page 3

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PVR – 32.3461.12
REPORT OF VILLAGE/FIRE DISTRICT CLERK
TAX YEAR 2012
To: Town/City Clerk, Town/City of ___________________________________________
From: Clerk, _____________________________________________________________
Village/District Name
Vermont law provides that annually, on or before July 15, fire district clerks and clerks of
incorporated villages shall make and deliver to the town clerk a statement of taxes assessed by
such districts and villages giving the amount of the grand list, the rate per dollar and the amount
of taxes levied in such districts and villages. 32 V.S.A. §3461.
Accordingly I am hereby notifying you that the Village/District named above has established a
property tax rate of:
$ _________ .
This rate will be levied against the tax year 2012 Village grand list of:
___________
This will raise taxes in the amount of:
$_______________
I have attached a sample tax bill showing the rate(s) levied.
Date: __________
Attest: _____________________________
Village/District Clerk

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