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2. MOTOR VEHICLE EXCISE ABATEMENT APPLICATION

   Mass. General Laws Chapter 60A

4. INSTRUCTIONS:

   To apply for an abatement (or refund if excise has been paid), complete this form and provide the specified documentation.

   Abatement applications must be received by the assessors within three years after the excise was due, or one year after the excise was paid, whichever is later. To preserve your right 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.

   Filing an application does not stay the collection of your excise bill. To avoid interest, charges and collection action, including non-renewal of your registration, you must pay the bill in full within 30 days of its issue date. You will receive a refund if an abatement is granted.

   NOTE. You are not entitled to an abatement if you (1) cancel your registration and retain ownership of the vehicle, or (2) move to another Massachusetts city or town, during the calendar year. No excise may be reduced to less than $5.00. No abatement or refund of less than $5.00 may be made.

8. BILL INFORMATION:
10. Tax Year*
11. Tax Date*
12. Issue Date*
13. Bill Number*
15. Plate/Registration Number*
16. VIN*
17. Vehicle Year*
18. Make & Model*
20. Name (shown on bill)*
22. Address (shown on bill)*
24. City/Town (shown on bill)*
25. State (shown on bill)*
26. Zip Code (shown on bill)*
28. Mailing Address (if different from above)
30. City/Town (if different)
31. State (if different)
32. Zip Code (if different)
34. REASON YOU ARE APPLYING FOR AN ABATEMENT:*
    -- Select One --Vehicle Sold or TradedTotal LossVehicle RepossessedVehicle JunkedVehicle Returned (Lemon Law)Moved out of stateExemptionShipped Out of CountryOther

35. You must provide documentation!

    Select an option from the drop down menu to the left; and then use the Document Upload section below to submit the required papers listed under Required Documentation.

    Contact Number: (978) 674-4200

37. Required Documentation if vehicle was Sold or Traded

    Bill of sale and plate cancellation receipt from Registry of Motor Vehicles (RMV) or new registration if plate transferred to another vehicle

39. Required Documentation if vehicle was a Total Loss

    Insurance Settlement Letter and plate cancellation receipt from Registry of Motor Vehicles (RMV) or new registration if plate transferred to another vehicle

41. Required Documentation if vehicle was Repossessed

    Notice from leinholder and plate cancellation receipt from Registry of Motor Vehicles (RMV) or new registration if plate transferred to another vehicle

43. Required Documentation if vehicle was Junked

    Receipt from Junk Yard and plate cancellation receipt from Registry of Motor Vehicles (RMV) or new registration if plate transferred to another vehicle

45. Required Documentation if vehicle was Returned (Lemon Law)

    Letter from dealer certifying return and plate cancellation receipt from Registry of Motor Vehicles (RMV) or new registration if plate transferred to another vehicle

47. Required Documentation if vehicle was Shipped Out of Country

    Bill of Lading and MA Plate return receipt

49. Required Documentation if you moved out of Massachusetts

    Registration from new state or country and MA Plate return receipt. 

51. Date of Move*
    Date of Move

    Enter the date you moved out of Massachusetts. 

    
    

53. Required Documentation if your reason is an Exemption*

    Enter the type of Exemption in the box above, and attach any relevant documents to the Documentation Upload section below. 

55. Required Documentation if your reason is Other*

    Explain the reasoning in the above text box, and attach any relevant documents to the Documentation Upload section below.

57. To Upload more than one file, hold CTRL while clicking all items you wish to attach.

58. Documentation Upload*
62. Subscribed under the penalties of perjury:
64. Digital Signature*
65. Phone Number*
67. Email Address*
68. Date*
    Date
Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field