Get MA State Tax Form 96-4 2019-2023
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. Signature If signed by agent attach copy of written authorization to sign on behalf of taxpayer. 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. Of Veterans Affairs branch of service and 2 list above places and dates where surviving spouse has lived during the last 6 years 2 years if local option adopted See Assessors Is the servicemember or national guard member missing in action and presumed dead Yes Was the proximate cause of the veteran s servicemember s or national guard member s death due to an active duty injury or illness Yes If yes to next question and first year of application attach Certificate of Disability from U.S. Dept. of Veterans Affairs or branch of service. Does the veteran have a 100 disability rating for service-connected blindness If exemption granted previously attach certificate only if disability rating is 100 or has changed. Has the veteran acquired specially adapted housing Yes Is the veteran a paraplegic Yes GO ON TO SECTION C C. Of Veterans Affairs or branch of service. Does the veteran have a 100 disability rating for service-connected blindness If exemption granted previously attach certificate only if disability rating is 100 or has changed. Has the veteran acquired specially adapted housing Yes Is the veteran a paraplegic Yes GO ON TO SECTION C C. SIGNATURE. Sign here to complete the application. This application has been prepared or examined by me. 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 servicemember national guard member or veteran who died from active duty injury or illness 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 WHO MAY FILE AN APPLICATION. You may file an application if you meet all qualifications for a personal exemption as of July 1. The Commonwealth of Massachusetts State Tax Form 96-4 Assessors Use only Date Received Revised 7/2017 Application No. Parcel Id. Name of City or Town VETERAN FISCAL YEAR APPLICATION FOR STATUTORY EXEMPTION General Laws Chapter 59 5 THIS APPLICATION IS NOT OPEN TO PUBLIC INSPECTION See General Laws Chapter 59 60 Return to Board of Assessors Must be filed with assessors on or before April 1 or 3 months after actual not preliminary tax bills are mailed for fiscal year if later. INSTRUCTIONS Complete the following. Please print or type. A. IDENTIFICATION. Complete this section fully. 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. You may also apply if you are the personal representative of the estate or trustee under the will of a person who qualified for a personal exemption on July 1.
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