Boat Excise Abatement Application BOAT EXCISE ABATEMENT APPLICATION 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, a penalty of $20.00, or 20% of the excise, whichever is greater, and collection action, including loss of mooring or docking privileges, you must pay the bill in full within 60 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 ownersh1p of the boat, or (2) change the registration or location of the boat to another Massachusetts city or town, during the fiscal year. Fiscal YearTax Date MM slash DD slash YYYY Issue Date MM slash DD slash YYYY Bill NumberRegistration/Documentation No.Boat NameModel & YearLengthName (as shown on bill)Address (as shown on bill - include city state and zip)Mailing Address (if different - include city state and zip))Email(Required) REASON YOU ARE APPLYING FOR AN ABATEMENT: Check where applicable (You must provide necessary documentation) Boat sold or traded (provide Bill of sale) Boat total loss (provide insurance settlement) Boat repossessed (provide notice from lienholder) Boat Junked (provide receipt from junk yard) Boat Stolen (provide police report) Boat mooring/registration/location changed from billing city/town Moved out of state (provide registration from new state or country if registered, AND proof of cancellation or expiration of MA registration) Exemption (provide documentation establishing qualifications) Other (provide relevant documentation) Date of Move MM slash DD slash YYYY Provide proof of new mooring place for summer of fiscal year of bill, or proof place boat located or registered changed before July 1 of tax year of bill NOTE: You are not entitled to an abatement if you registered or moved the boat elsewhere within Massachusetts during the fiscal year of the excise tax. Date of move from state MM slash DD slash YYYY ExemptionTypeExplain Other:Please upload ALL required documentation.(Required) Drop files here or Select files Max. file size: 50 MB. Signature (Subscribed under the penalties of perjury)(Required)Date: MM slash DD slash YYYY Telephone