State Tax Form 301a - Instrument Of Taking By Assignee

ADVERTISEMENT

This instrument must be filed for record or registration within 60 days from its date
COMMONWEALTH OF MASSACHUSETTS
State Tax Form 301A
G.L. c. 60, §§ 53 and 54
__________________________
Issued 3/2009
Name of city or town
INSTRUMENT OF TAKING BY ASSIGNEE
I, ______________________________________ (name, position, company and address), assignee of tax
receivables under General Laws Chapter 60, Section 2C from the Collector of Taxes for the City/Town of
____________________ under an instrument of assignment dated ___________________, ______ and
recorded/registered on _________________, ________, with the ___________________ Registry of
Deeds, Book ________ Page ______, Document Number ____________, Certificate of Title Number
_______________, acting under Chapter 60, Sections 53 and 54, hereby take for the assignee the real
property described below:
DESCRIPTION OF PROPERTY
(The description must be sufficiently accurate to identify the property and must agree with the notice of taking. In the case of
registered land, the Certificate of Title Number and the Registration Volume and Page must be given.)
This land is taken because taxes, as defined in Chapter 60, Section 43, assessed on the property to
_____________________________________________________ for the fiscal year _________ were not
paid within 14 days after a demand for payment was made on ___________________________________
on_______________, ______. After notice of intention to take the land was given as required by law,
they remain unpaid along with interest and incidental expenses and costs to the date of taking as follows:
Fiscal Year ________Taxes Remaining Unpaid
$________________
Interest to Date of Taking
$________________
Incidental Expenses and Costs to Date of Taking
$________________
Total for which Land is Taken
$________________
_____________________________________________
Signature of Assignee
Executed as a sealed instrument on ___________________, _______
_____________________________________________
Printed/Typed Name of Assignee
THE COMMONWEALTH OF MASSACHUSETTS
ss.
Date
On this _____ day of _______________, _____, before me, the undersigned notary public, personally
appeared __________________________, proved to me through satisfactory evidence of identification,
which were _________________________________________________________, to be the person
whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed
it voluntarily for its stated purpose, as _____________(partner/title/position) for _______________
(name of company), a partnership/corporation/_______, and assignee of tax receivables under Chapter 60,
Section 2C from the Collector of Taxes for the City/Town of ____________________.
_____________________________________________
Signature of Notary Public
My commission expires ____________________
_____________________________________________
Printed/Typed Name of Notary Public
THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go