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. � <br /> State Tax Form 166 THE I1 M I TW LTH OF MASSACHUSETTS G.L.Ch. 60A§§7 <br /> Revised 7.2/2004 Schedule Date: <br /> Town of Mashpee' Pagel of 1 <br /> SCHEDULE of UNCOLLECTIBLETAXES <br /> Boat Tax <br /> Furl/Calendar Year 1999 <br /> s <br /> Taxpayer's Name&Address Commitment Due Date Demand Warrant Taxes Takes Reason Takes <br /> Date Date Issued Daae Assessed . Owed Uncollectible Abated <br /> See Attached list 9/99 18100 0_2Z25j()Q,,_ 0-3129/ 3.6.5239-- 5239 Absent <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 /> abate them- <br /> Because the taxpayer is dead, absent, bankrupt, insolvent or otherwise unable to pay. <br /> In order to settle the levy. <br /> Collector of Taxes <br /> Date./ � � <br /> 0 <br /> The Board of Assessors certifies the abatement of the excises listed in this schedule.,This certification discharges the collector from army.further obligation to collect the abated excise <br /> at this time. if any excise becomes colle tible 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 />