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_ i 4 <br /> State Tax Form 166 THE COMMONWEALTH OF MASSACHUSETTS G.L. Chi. 60A§§7 Z <br /> Revised 12/2004 8chedule Date: <br /> To ri of Mashpee Pagel of 1 <br /> SCHEDULE OF UNCOLLECTIBLE TAXES <br /> Boat Tac <br /> Fiscal/Calendar Year 2000 } <br /> Taxpayer's Name&Address Commitment Due Date Demaind Warrant � Takes Taxes Reason Taxes <br /> Date Date Issued Date Assessed Owed Uncollectible Abated <br /> See-Attacbed list 7114/00 091 4/00 ---.11/16/00 :3.849.87 3-949-97 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 thea 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 Tars <br /> Date- <br /> The Board of Assessors certifies the abatement of the excises listed in this schedule. This certification discharges the collector fr m any further obligation to collect the abated erase <br /> at this time. If any excise becomes collectible in the future, however,the Burd will issue a new-comhiitment to collect that excise. <br /> Board of Assessors <br /> Date: <br /> THIS FORM APPROVED BY THE COMMISSIONER of REVENUE <br />