Fillable BLIND General Laws Chapter 5, 5 (Town of Montague)

Fill Online, Printable, Fillable, Blank BLIND General Laws Chapter 5, 5 (Town of Montague) Form

Use Fill to complete blank online TOWN OF MONTAGUE (MA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BLIND General Laws Chapter 5, 5 (Town of Montague)

On average this form takes 13 minutes to complete

The BLIND General Laws Chapter 5, 5 (Town of Montague) form is 2 pages long and contains:

  • 2 signatures
  • 17 check-boxes
  • 38 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Montague

BROWSE TOWN OF MONTAGUE (MA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
37
State Tax Form 96-3
The Commonwealth of Massachusetts
Assessors’ Use only
Revised 11/2016
Date Received
Application No.
Name of City or Town
Parcel Id.
BLIND
FISCAL YEAR _______ APPLICATION FOR STATUTORY EXEMPTION
General Laws Chapter 5, § 5
THIS APPLICATION IS NOT OPEN TO PUBLIC INSPECTION
(See General Laws Chapter 59, § 60)
INSTRUCTIONS: Complete the following. Please print or type.
A. IDENTIFICATION. Complete this section fully.
Name of Applicant ________________________________________________________________________________________
Telephone Number _________________________
Marital Status ________________________________
Legal Residence (Domicile) on July 1, _____________
No. Street City/Town Zip Code
Location of Property:
Mailing Address (If different)
No. of Dwelling Units: 1 2 3 4 Other
Did you own the property on July 1, ? Yes No
If yes, were you: Sole Owner Co-owner with Spouse Only Co-owner with Others
Was the property subject to a trust as of July 1, ? Yes No
If yes, please attach trust instrument including all schedules.
Have you been granted any exemption in any other city or town (MA or other) for this year? Yes No
If yes, name of city or town Amount exempted $
DISPOSITION OF APPLICATION (ASSESSORS’ USE ONLY)
Ownership
GRANTED
Assessed Tax $
Occupancy
DENIED
Exempted Tax $
Status
DEEMED DENIED
Adjusted Tax $
Income
Assets
Board of Assessors
Date Voted/Deemed Denied
Certificate No.
Date Cert./Notice Sent
Exemption: Clause
Date:
FILING THIS FORM DOES NOT STAY THE COLLECTION OF YOUR TAXES
THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE
B. EXEMPTION STATUS. Complete the questions that follow.
Were you legally blind as of July 1, ? Yes No
Are you registered with Mass. Commission for the Blind? Yes No
If yes, give Certificate Number Date Registered Attach copy of certificate.
If no, attach a letter from your doctor indicating status as of July 1.
C. SIGNATURE. Sign here to complete the application.
This application has been prepared or examined by me. Under the pains and penalties of perjury, I declare that to the
best of my knowledge and belief, this return and all accompanying documents and statements are true, correct and
complete.
Signature Date
If signed by agent, attach copy of written authorization to sign on behalf of taxpayer.
click to sign
signature
click to edit
click to sign
signature
click to edit
TAXPAYER INFORMATION ABOUT PERSONAL EXEMPTIONS
PERSONAL EXEMPTIONS. You may be eligible to reduce all or a portion of the taxes assessed on
your domicile if you meet the qualifications for one of the personal exemptions allowed under
Massachusetts law. Qualifications vary, but generally relate to age, ownership, residency, disability,
income or assets.
You may be eligible for an exemption if you fall into any of these categories:
Legally blind person
Veteran with a service-connected
disability
Surviving spouse of a servicemember or
national guard member who died in
combat or from combat injury or disease
Surviving spouse
Minor child of a deceased parent
Senior citizen age 70 and older (65 and
older by local option)
More detailed information about the qualifications for each exemption may be obtained from your
board of assessors.
WHO MAY FILE AN APPLICATION. You may file an application if you meet all qualifications for a
personal exemption as of July 1. You may also apply if you are the administrator or executor of a
person who qualified for a personal exemption on July 1.
WHEN AND WHERE APPLICATION MUST BE FILED. Your application must be filed with the
assessors on or before April 1, or 3 months after the actual bills were mailed for the fiscal year,
whichever is later. An application is filed when (1) received by the assessors on or before the filing
deadline, or (2) mailed by United States mail, first class postage prepaid, to the proper address of the
assessors, on or before the filing deadline, as shown by a postmark made by the United States Postal
Service. THIS DEADLINE CANNOT BE EXTENDED OR WAIVED BY THE ASSESSORS FOR ANY
REASON. IF YOUR APPLICATION IS NOT TIMELY FILED, YOU LOSE ALL RIGHTS TO AN
EXEMPTION AND THE ASSESSORS CANNOT BY LAW GRANT YOU ONE.
PAYMENT OF TAX. Filing an application does not stay the collection of your taxes. In some cases,
you must pay all preliminary and actual installments of the tax when due to appeal the assessors’
disposition of your application. Failure to pay the tax when due may also subject you to interest
charges and collection action. To avoid any loss of rights or additional charges, you should pay the
tax as assessed. If an exemption is granted and you have already paid the entire year’s tax as
exempted, you will receive a refund of any overpayment.
ASSESSORS DISPOSITION. Upon applying for an exemption, you may be required to provide the
assessors with further information and supporting documentation to establish your eligibility. The
assessors have 3 months from the date your application is filed to act on it unless you agree in writing
before that period expires to extend it for a specific time. If the assessors do not act on your
application within the original or extended period, it is deemed denied. You will be notified in
writing whether an exemption has been granted or denied.
APPEAL. You may appeal the disposition of your application to the Appellate Tax Board, or if
applicable, the County Commissioners. The appeal must be filed within 3 months of the date the
assessors acted on your application, or the date your application was deemed denied, whichever is
applicable. The disposition notice will provide you with further information about the appeal
procedure and deadline.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BLIND General Laws Chapter 5, 5 (Town of Montague)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document