Form PTA201 "Certificate of Assessment to Be Returned to Municipal Treasurer" - Maine

What Is Form PTA201?

This is a legal form that was released by the Maine Department of Administrative and Financial Services - a government authority operating within Maine. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Maine Department of Administrative and Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form PTA201 by clicking the link below or browse more documents and templates provided by the Maine Department of Administrative and Financial Services.

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Download Form PTA201 "Certificate of Assessment to Be Returned to Municipal Treasurer" - Maine

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CERTIFICATE OF ASSESSMENT TO BE RETURNED TO MUNICIPAL TREASURER
STATE OF MAINE
County of___________________________________, ss.
We hereby certify that we have assessed a tax on the estate, real and personal, liable to be taxed in the
Municipality of __________________________________ for the fiscal year
__________________ to ______________________, at ________________ mils, on a total
mm/dd/yy
mm/dd/yy
taxable valuation of $_____________________________.
Assessments:
1. County tax
$____________________
2. Municipal appropriation
$____________________
3. TIF financing plan amount
$____________________
4. Local education appropriation
$____________________
5. Overlay not to exceed 5% of “net to be
raised”
$____________________
6. Total assessments
$____________________
Deductions:
7. State municipal revenue sharing
$____________________
8. Homestead exemption reimbursement
$____________________
9. BETE reimbursement
$____________________
10. Other revenue
$____________________
11. Total deductions
$____________________
12. Net assessment for commitment
$____________________
(line 6 minus line 11)
Lists of all the same we have committed to___________________________, Tax Collector
of said Municipality, with warrants in due form of law for collecting and paying the same to
_______________________________, Municipal Treasurer of said Municipality, or the successor in office, on
or before such date, or dates, as provided by legal vote of the Municipality and warrants received pursuant to
the laws of the State of Maine. (36 M.R.S. §712)
Given under our hands this ____________________________.
mm/dd/yy
____________________________________________________ Municipal Assessor(s)
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
File the original certificate with the treasurer. File a copy in the valuation book.
PTA 201 (04/21)
CERTIFICATE OF ASSESSMENT TO BE RETURNED TO MUNICIPAL TREASURER
STATE OF MAINE
County of___________________________________, ss.
We hereby certify that we have assessed a tax on the estate, real and personal, liable to be taxed in the
Municipality of __________________________________ for the fiscal year
__________________ to ______________________, at ________________ mils, on a total
mm/dd/yy
mm/dd/yy
taxable valuation of $_____________________________.
Assessments:
1. County tax
$____________________
2. Municipal appropriation
$____________________
3. TIF financing plan amount
$____________________
4. Local education appropriation
$____________________
5. Overlay not to exceed 5% of “net to be
raised”
$____________________
6. Total assessments
$____________________
Deductions:
7. State municipal revenue sharing
$____________________
8. Homestead exemption reimbursement
$____________________
9. BETE reimbursement
$____________________
10. Other revenue
$____________________
11. Total deductions
$____________________
12. Net assessment for commitment
$____________________
(line 6 minus line 11)
Lists of all the same we have committed to___________________________, Tax Collector
of said Municipality, with warrants in due form of law for collecting and paying the same to
_______________________________, Municipal Treasurer of said Municipality, or the successor in office, on
or before such date, or dates, as provided by legal vote of the Municipality and warrants received pursuant to
the laws of the State of Maine. (36 M.R.S. §712)
Given under our hands this ____________________________.
mm/dd/yy
____________________________________________________ Municipal Assessor(s)
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
File the original certificate with the treasurer. File a copy in the valuation book.
PTA 201 (04/21)