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2. 
4. Must be filed with the Board of Assessors on or before December 15, or 3 months after the actual (not preliminary) tax bills are mailed for the fiscal year if later.
6. IDENTIFICATION
8. Name of Applicant
10. Marital Status
12. Legal Residence (Domicile) on July 1, 2014?
14. Mailing Address (if different)
15. Phone
17. Did you own the property July 1, 2014?
    -- Select One --YesNo
19. If yes, were you
    -- Select One --Sole OwnerCo-Owner with spouse onlyCo-Owner with others
21. Was the property subject to a Trust as of July 1, 2014?
    -- Select One --YesNo

    (If yes, attach Trust Instrument)
23. Have you been granted an exemption in any other city or town this year?
    -- Select One --YesNo
25. If yes, name of the city or town
26. Amount Exempted
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field