Form 128 - Application For Abatement Of Real Property Tax Or Personal Property Tax
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1
2The Commonwealth of Massachusetts
Assessors’ Use only
State Tax Form 128
Date Received
Revised 7/2009
Application No.
Name of City or Town
APPLICATION FOR ABATEMENT OF
REAL PROPERTY TAX
PERSONAL PROPERTY TAX
FISCAL YEAR _______
General Laws Chapter 59, § 59
THIS APPLICATION IS NOT OPEN TO PUBLIC INSPECTION (See General Laws Chapter 59, § 60)
Return to:
Board of Assessors
Must be filed with assessors not later than due
date of first actual (not preliminary) tax payment
for fiscal year.
INSTRUCTIONS: Complete BOTH sides of application.
Please print or type.
A. TAXPAYER INFORMATION.
Name(s) of assessed owner:
Name(s) and status of applicant (if other than assessed owner)
Subsequent owner (aquired title after January 1) on
_________________ __________
,
Administrator/executor.
Mortgagee.
Lessee.
Other. Specify.
Mailing address
Telephone No. (
)
No.
Street
City/Town
Zip Code
Amounts and dates of tax payments ___________________________________
B. PROPERTY IDENTIFICATION. Complete using information as it appears on tax bill.
Tax bill no.
Assessed valuation
$
Location
No.
Street
Description
Parcel ID (map-block-lot)
Real:
Class
Land area
Personal:
Property type(s)
C. REASON(S) ABATEMENT SOUGHT. Check reason(s) an abatement is warranted and briefly explain why it applies.
Continue explanation on attachment if necessary.
Overvaluation
Incorrect usage classification
Disproportionate assessment
Other.
Specify.
Applicant’s opinion of: Value $
Class
Explanation
FILING THIS FORM DOES NOT STAY THE COLLECTION OF YOUR TAXES. TO AVOID LOSS OF APPEAL RIGHTS OR
ADDITION OF INTEREST AND OTHER COLLECTION CHARGES, THE TAX SHOULD BE PAID AS ASSESSED.
THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE
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