Form Stf 126-Be - Boat Excise Abatement Application (Approved By Commissioner Of Revenue)

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BOAT EXCISE ABATEMENT APPLICATION
General Laws Chapter 60B
RETURN APPLICATION FORM AND DOCUMENTATION TO: Board of Assessors ____________________________________________
INSTRUCTIONS. To apply for an abatement (or refund if
BILL INFORMATION:
excise has been paid), complete this form and provide the
specified documentation.
Fiscal Year __________
Tax Date _____/______ Issue Date ______/______/______
Bill Number ___________
Abatement applications must be received by the assessors
Registration/Documentation No. _________________ Boat Name ___________________ Model Year ________ Length _______
within three years after the excise was due, or one year after
the excise was paid, whichever is later. To preserve your right
Name (as shown on bill) ____________________________________________________________________________________
to appeal, you must file on time. By law, assessors may only
act on late applications in limited circumstances where the
excise is still unpaid and their decision in those cases is final.
Address (as shown on bill) _________________________________________________________________________________
City/Town
State
Zip
Filing an application does not stay the collection of your
excise bill. To avoid interest, charges, a penalty of $20.00, or
Mailing Address (if different) ________________________________________________________________________
20% of the excise, whichever is greater, and collection action,
City/Town
State
Zip
including loss of mooring or docking privileges, you must pay
the bill in full within 60 days of its issue date. You will
receive a refund if an abatement is granted.
REASON YOU ARE APPLYING FOR AN ABATEMENT:
NOTE. You are not entitled to an abatement if you (1) cancel
your registration and retain ownership of the boat, or (2)
Check where applicable
You must provide this documentation
change the registration or location of the boat to another
Massachusetts city or town, during the fiscal year.
Boat sold or traded
Bill of sale
Boat total loss
Insurance settlement letter
Return this completed form to:
Board of Assessors • _____ of ________
____________ • ________ MA ______
Boat repossessed
Notice from lienholder
Board of Assessors at (____) __________
Boat junked
Receipt from junk yard
Boat stolen
Police report
------------------ Do not write below this line ---------------------
Boat mooring/registration/location
Date of move: ________/________/_________
Year ________________
Bill # ______________
changed from billing city/town
Proof of new mooring place for summer of fiscal year of bill, or proof place boat located
Valuation ____________
or registered changed before July 1 of tax year of bill
NOTE:
You are not entitled to an abatement if you registered or moved the boat
Excise Assessed
$__________________
Abatement Allowed
$__________________
elsewhere within Massachusetts during the fiscal year of the excise tax.
Adjusted Excise
$__________________
Moved out of state
Date of move: ________/________/_________
Cert. # ______________
Date: ___/____/______
If registered, registration from new state or country and proof of cancellation or expiration
of MA registration
Assessor _________________________________
Assessor _________________________________
Exemption
Type: _______________________________ Documentation establishing qualifications
Other
Explain: ____________________________________________ Relevant documentation
Form Approved by Commissioner of Revenue
Subscribed under the penalties of perjury
(STF 126-BE)(12/2004)
Signature: ____________________________________________________________ Date: ___________________________
Telephone: ________________________________

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