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					                          CAPITAL ACQUISITIONS TAX
                      SCHEDULE OF LANDS AND BUILDINGS

Disponer’s PPS No.

Disponer’s name

Disponer’s address




Disponer’s date of death (if applicable)                 D D M M Y Y
The date on which the property is to be valued           D D M M Y Y
Agent’s name
Agent’s address




Agent’s reference                                                 Agent’s code

Agent’s phone no.                                                 Agent’s signature

                                                                                                                   PTO
                                                   For official use only
    1. File Number

    2. Tax involved (x the box)            Gift              Inheritance                     Discretionary Trust

    3. (i) Group threshold (x the box)      A                     B                                  C
                      or
       (ii) Threshold amount

    4. Aggregate of taxable values of gifts/inheritance to date

    5. Donee/Successor is a farmer (x the box)              Yes                       No

    6. Adjudication File No.                                and the parties to the relevant deed are:



    7. Auctioneer’s valuation enclosed (x the box)          Yes                       No

    8. Other relevant reference/observations:




    Signed                                                                            Date     D D M M Y Y




Form C.A.6
Edition 2012
RPC002198_EN_WB_L_1                                         1
Disponer’s PPS No.
Milk Quota                                                                                                                   Timber
Is there a super levy milk quota attached to any of the property described below?                                            Is any of the property described below agricultural property which consists of trees
If so, identify the property and the number of litres involved.                                                              or underwood? If so, identify clearly the lands involved.
Item no.                                                                                                                     The value of the lands should include the value of the trees and underwood.

Litres                                                                                                                       Item no.

Is the estimated value supported by a professional valuation? Insert x in the box                  Yes         No

                                SITUATION OF PROPERTY                 NATURE OF PROPERTY                            AREA                          TENURE                      Estimated       For Vaulation
                      County:                                                                                       (Hectares)                                                  Market        Office use only
 Consecutive Number




                                                                                                                                                                                 Value
                      City:                                                                                                                                                   of property

                      Town:

                      Townland or Street and   Electoral Division   Lands x               Buildings x                             If leasehold, date   If registered,                         Official Opinion
                      Number                   or Ward                                                                            of lease and         folio number                           of Market Value
                                                                                                                                  length of term                                   €                  €
 1.                                                                   Agricultural          Residential

                                                                      Development           Commercial

                                                                                                  Retail
                                                                            Residential
                                                                                                  Industrial
                                                                            Commercial
                                                                                                  Office
                                                                      Mix
                                                                                            Agricultural
                                                                      Single Site
                                                                                            Mix

 2.                                                                   Agricultural          Residential

                                                                      Development           Commercial

                                                                                                  Retail
                                                                            Residential
                                                                                                  Industrial
                                                                            Commercial
                                                                                                  Office
                                                                      Mix
                                                                                            Agricultural
                                                                      Single Site
                                                                                            Mix

 3.                                                                   Agricultural          Residential

                                                                      Development           Commercial

                                                                                                  Retail
                                                                            Residential
                                                                                                  Industrial
                                                                            Commercial
                                                                                                  Office
                                                                      Mix
                                                                                            Agricultural
                                                                      Single Site
                                                                                            Mix




                                                                                                                                          For Commissioner of Valuation
                                                                                                               2

				
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posted:7/25/2012
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