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State Tac Form 166 THE COMMONWEALTH OF MASSACHUSETTS TSETTG.L. ' <br /> Revised 12/2004 Schedule Date: <br /> : y <br /> Town of t ashpee Pagel of 1 <br /> SCHEDULE OF UNCOLLECTIBLE TA <br /> Boat Tax <br /> Fiscal/Calendar Year 1991 <br /> Taxpayer's Name&Address Commitment Due Date Demand Warrant Taxes Takes Reason Taxes <br /> Date Date - Issued Date Assessed Owed Un 011e tible Abated , <br /> See Attached lost /1991 _05113 1/91 06/27191- 1,606,50-3.606. Absen <br /> I certify under the pains and penalties of penury that the excises list6d in this schedule are uncollectible after diligent attempts to collect therm and request the Board ofAssessors to <br /> abate them <br /> Because the taxpayer is dead, absent, bankrupt, insolvent or otherwi a unable-to pay. <br /> In order to settle th.e levy. <br /> Collector of Taxes <br /> - i Date: � . <br /> The Board of Assessors certifies the abatement of the excises listed in this schedule.. This certification discharges the collector from any farther 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 APPROVEDZY THE COMMISSIONER OFREVENUE <br />