61 61A 61B
State Tax Form CL-7
The Commonwealth of Massachusetts
Assessors’ Use only
Revised 6/2015 Date Received
Name of City or Town Application No.
Application to Modify a Decision
Abate a Tax
Classified Forest-- Agricultural or Horticultural -- Recreational Land
General Laws Chapters 61, § 3 - Chapter 61A, § 19 – Chapter 61B, § 14
INSTRUCTIONS: Complete all sections. Please print or type.
A. TAXPAYER INFORMATION.
Name of
Applicant(s):
Mailing Address:
Telephone Number:
B. PROPERTY IDENTIFICATION.
Location Parcel Identification
(Map-Block-Lot)
Deed Reference
(Book & Page/Cert. No.)
Total Acres Acres to be
Classified
TYPE OF CLASSIFICATION Forest Agricultural or Horticultural Recreational
C. ACTION SOUGHT. Check the action you are seeking from the assessors and provide the requested information.
MODIFICATION ABATEMENT
Type of Decision:
Disallowance of Application
Type of Tax:
Land
Other (Specify) Conveyance Roll-back
Date of Decision Date/FY Assessed
Date You Received Decision Notice Date You Received Tax Bill
Reason for Modification Reason for Abatement
D. SIGNATURE. Sign here to complete the application.
Under the pains and penalties of perjury, I declare that to the best of my knowledge and belief, this application
and all accompanying documents and statements are true, correct and complete.
Your signature Date
If signed by agent, attach copy of written authorization to sign on behalf of taxpayer.
DISPOSITION OF APPLICATION (ASSESSORS’ USE ONLY)
GRANTED DENIED Reason
Date Voted/Denied
Date Notice Sent Board of Assessors
Appeal
Date Filed
Decision
Settlement Date
THE FILING OF THIS APPLICATION DOES NOT STAY THE COLLECTION OF ANY TAX. TO AVOID ANY LOSS OF APPEAL
RIGHTS OR ADDITION OF INTEREST OR OTHER COLLECTION CHARGES, THE TAX SHOULD BE PAID AS ASSESSED.
THIS FORM APPROVED BY THE COMMISSIONER OF REVENUE
