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State Tac Form 166 THE COMMONWEALTH OF MASSACHUSETTS G.L. Ch. <br /> Reprised 12/2004 Schedule Daae: <br /> Town of Mashpee Pagel of 1 <br /> SCHEDULE of UNCOLLECTIBLE TAXES <br /> Boat Tac, <br /> Fiscal/Calendar Year 19960 <br /> Taxpayer's fume&Address Commitment Due Date Demand Warrant Taxes Taxes Ieason Taxes <br /> Date Date Issued Date Assessed Owed Uncollectible Abated <br /> See Attached list —oq/20/96 11/18 02/25197 09/05/9 1232,50 'U 30 Abspnt <br /> I certify under the pains and penalties of perjury that the excises listed in this schedule-are uncollectible after diligent attempts to collect them and request the Board of Assessors to <br /> auto them: <br /> Because the taxpayer is dead, absent, bankrupt, insolvent or otherwise unable to pair. <br /> In order to settle the leery. <br /> Collector of Takes <br /> Da '11,010,000or <br /> The Burd of Assessors certifies the abatement of the excises listed in this schedule. This certification discharges the collector from any further obligation to collect the abated excise <br /> at this time. If any excise becomes collectible in'the future, however,the-Board will issue a new commitment to collect that excise. <br /> Board of Assessors <br /> Date: <br /> THIS FORM APPROVED BY THE COMMISSIONER F REVENUE <br />