STATE OF VERMONT, To A. B., collector of the town of
_______ County, ss. } ______, in the county of
Greeting:
By the authority of the State of Vermont, you are hereby commanded to levy and collect of the several persons named in the foregoing list herewith committed to you the sum of money annexed to the name of each person respectively, with your own fees, and pay the same to the treasurer of the town of __________, on or before 60 days from the date hereof; and if any person neglects or refuses to pay such sums with your fees, you are hereby commanded, etc., (here insert as in § 4912 of this title).
Dated at _______ in the county of _______, the _____ day of _______________ A.D. 20___.
__________, Treasurer
32 V.S.A. § 4913