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2. INSTRUCTIONS: To apply for an abatement (or refund if excise has been paid), complete this form and provide the specified required documentation. Abatement applications must be filed with the Board of Assessors within 3 years after the excise was due. By law the Assessors cannot act on late applications. Filing an application does not stay the collection of your excise bill. To avoid interest, charges and collection action, including non-renewal of your registration, you must pay the bill in full within 30 days of its issue date. You will receive a refund if an abatement is granted. Abatements can only be made against the original excise amount, penalties and fees can not be adjusted or waved by the Assessors Office. NOTE: You are not entitled to an abatement if you (1) cancel your registration and retain ownership of the vehicle, or (2) move to another Massachusetts city or town, during the calendar year.
4. Refunds will be mailed to the address provided. If you do not receive the refund within 30 days, please contact the Collectors Office to verify the status of your request. If you have outstanding taxes due, please contact the Collectors Office for a balance due before mailing your payment. Collectors Office 978-365-4123
6. Tax Year*
7. Plate #*
8. Vehicle Year*
9. Bill Number*
11. Name as Shown on Bill*
13. Address As Shown on Bill*
15. Mailing Address (If Different)
17. Indicate The Reason That You Are Applying For an Abatement
19. Check Only One

    1. Vehicle Sold or Traded
20. Requirements
22. 1. Vehicle Stolen or Total Loss
23. Requirements
25. 1. Vehicle Repossessed or Junked
26. Requirements
28. 1. Vehicle Returned (Lemon Law)
29. Requirements
31. 1. Moved From Massachusetts
32. Date of Move - Attach MA Plate Return AND New State Registration
34. 1. Exemption
35. Type - Attach Qualifying Certificate
37. 1. Other
38. Explain
40. Attach Plate Information - Transfer or Returned*
    File names must be unique
41. Attach Disposition of Old Vehicle Documentation*
    File names must be unique
43. !!! - You MUST attach Plate Status AND Vehicle Disposition Documentation in the fields above - !!!
    Incomplete applications will be automatically rejected, the Assessors Office does not retain any applications that are submitted without all fields being completed and the TWO REQUIRED document types attached.
45. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
47. Electronic Signature
49. Telephone Number*
50. Email*
53. Assessors Use Only, Enter Confirmation Email Below and Submit
55. Calendar year
56. Bill #
57. Valuation
58. Months Assessed
60. Original Excise Tax $
61. Abatement Allowed $
62. Adjusted Excise $
63. Certificate Number
65. Date Processed
67. Assessor Certification
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field