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MOTOR VEHICLE EXCISE ABATEMENT APPLICATION

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.

   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

   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*

10. Name as Shown on Bill*

12. Address As Shown on Bill*

14. Mailing Address (If Different)

16. Indicate The Reason That You Are Applying For an Abatement

18. Check Only One

    1. Vehicle Sold or Traded

19. Requirements

21. 1. Vehicle Stolen or Total Loss

22. Requirements

24. 1. Vehicle Repossessed or Junked

25. Requirements

27. 1. Vehicle Returned (Lemon Law)

28. Requirements

30. 1. Moved From Massachusetts

31. Date of Move - Attach MA Plate Return AND New State Registration

33. 1. Exemption

34. Type - Attach Qualifying Certificate

36. 1. Other

37. Explain

39. Attach Plate Information - Transfer or Returned*

    File names must be unique

40. Attach Disposition of Old Vehicle Documentation*

    File names must be unique

42. 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.
44. Electronic Signature

46. Telephone Number*

47. Email*

50. Assessors Use Only, Enter Confirmation Email Below and Submit

52. Calendar year

53. Bill #

54. Valuation

55. Months Assessed

57. Original Excise Tax $

58. Abatement Allowed $

59. Adjusted Excise $

60. Certificate Number

62. Date Processed

64. Assessor Certification

Leave This Blank:


66. 1. Receive an email copy of this form.
67. Email address

    This field is not part of the form submission.

68. Submit

* indicates a required field