REGIONAL SCHOOL TAX

(Provide a separate statement for each Regional District involved)

Debit Credit

Balance January 1, 2011 XXXXXXXX XX XXXXXXXX XX

School Tax Payable # 85031-00 XXXXXXXX XX

School Tax Deferred (Not in excess of 50% of Levy - 2010 - 2011) 85032-00 XXXXXXXX XX

Levy School Year July 1, 2011 - June 30, 2012 XXXXXXXX XX

Levy Calendar Year 2011 XXXXXXXX XX

Paid XXXXXXXX XX

Balance December 31, 2011 XXXXXXXX XX XXXXXXXX XX

School Tax Payable # 85033-00 XXXXXXXX XX

School Tax Deferred (Not in excess of 50% of Levy - 2011 - 2012) 85034-00 XXXXXXXX XX

# Must include unpaid requisitions

REGIONAL HIGH SCHOOL TAX

Debit Credit

Balance January 1, 2011 XXXXXXXX XX XXXXXXXX XX

School Tax Payable # 85041-00 XXXXXXXX XX

School Tax Deferred (Not in excess of 50% of Levy - 2010 - 2011) 85042-00 XXXXXXXX XX

Levy School Year July 1, 2011 - June 30, 2012 XXXXXXXX XX

Levy Calendar Year 2011 XXXXXXXX XX

Paid XXXXXXXX XX

Balance December 31, 2011 XXXXXXXX XX XXXXXXXX XX

School Tax Payable # 85043-00 XXXXXXXX XX

School Tax Deferred (Not in excess of 50% of Levy - 2011 - 2012) 85044-00 XXXXXXXX XX

# Must include unpaid requisitions

Sheet 14