Form PTA200 "Assessors' Certification of Assessment and Municipal Tax Assessment Warrant" - Maine

What Is Form PTA200?

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, 2020;
  • 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 PTA200 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 PTA200 "Assessors' Certification of Assessment and Municipal Tax Assessment Warrant" - Maine

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ASSESSORS’ CERTIFICATION OF ASSESSMENT
WE HEREBY CERTIFY that the pages herein, numbered from ______________to ______________
inclusive, contain a list and valuation of estates, real and personal, liable to be taxed in the
Municipality of _____________________________________ for state, county, district, and
municipal taxes for the fiscal year ______________ to ______________ as they existed on the first
mm/dd/yy
mm/dd/yy
day of April, 2021.
IN WITNESS THEREOF, we have hereunto set our hands at __________________________, this
municipality
_________________ day of _____________________________, 20________.
________________________________________________
Municipal Assessor(s)
________________________________________________
________________________________________________
________________________________________________
________________________________________________
MUNICIPAL TAX ASSESSMENT WARRANT
State of Maine
Municipality__________________________ County_______________________
To___________________________________, Tax Collector
In the name of the State of Maine, you are hereby required to collect of each person named in the list
herewith committed to you the amount set down on said list as payable by that person.
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)
ASSESSORS’ CERTIFICATION OF ASSESSMENT
WE HEREBY CERTIFY that the pages herein, numbered from ______________to ______________
inclusive, contain a list and valuation of estates, real and personal, liable to be taxed in the
Municipality of _____________________________________ for state, county, district, and
municipal taxes for the fiscal year ______________ to ______________ as they existed on the first
mm/dd/yy
mm/dd/yy
day of April, 2021.
IN WITNESS THEREOF, we have hereunto set our hands at __________________________, this
municipality
_________________ day of _____________________________, 20________.
________________________________________________
Municipal Assessor(s)
________________________________________________
________________________________________________
________________________________________________
________________________________________________
MUNICIPAL TAX ASSESSMENT WARRANT
State of Maine
Municipality__________________________ County_______________________
To___________________________________, Tax Collector
In the name of the State of Maine, you are hereby required to collect of each person named in the list
herewith committed to you the amount set down on said list as payable by that person.
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)
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:___________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
File the original certificate with the tax collector. File a copy in the valuation book.
PTA 200 (04/21)
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