State Form 97-3 - Property Tax Deferral Certificate
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2State Tax Form 97-3
Certificate No.
Revised 7/2009
Application No.
Tax bill No.
THE COMMONWEALTH OF MASSACHUSETTS
___________________________________________
Name of City, Town or District
Office of the Board of Assessors
____________________
Date
Property Tax Deferral Certificate
Fiscal Year ________
The Board of Assessors voted on __________________________, _________ to allow a deferral under
General Laws Chapter 59, Section 5, Clause 41A:
ON:
Location of property
Street and number
Property Identification
TO:
Applicant
(Assessed owner if different)
BOARD OF ASSESSORS
Tax Deferred
$
@ Interest Rate
%
Total Deferral *
$
* Total deferred is the amount, with interest, that must be paid upon sale of the property or the owner’s death. The total amount of
deferred taxes, with interest, cannot be more than 50% of the owner’s proportionate share of the full and fair cash value of the
property. Interest accrues until date paid. See the treasurer for payoff amount.
See Reverse Side for Important Information
THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE
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