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No. Parcel Id. |  |  |  |  |\n\nSENIOR--SURVIVING SPOUSE OR MINOR--VETERAN--BLIND FISCAL YEAR   APPLICATION FOR STATUTORY EXEMPTION  \nGeneral Laws Chapter 59, § 5  \nTHIS APPLICATION IS NOT OPEN TO PUBLIC INSPECTION  \n(See General Laws Chapter 59, § 60)  \nReturn to: Board of Assessors  \nMust 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.  \nINSTRUCTIONS: Complete all sections that apply. If you qualify under more than one category, you will receive the exemption that provides the greatest amount of assistance. Please print or type.  \nA. IDENTIFICATION. Complete this section fully.  \n\n| Name of Applicant   |  |  |\n| --- | --- | --- |\n| Telephone Number   Legal Residence (Domicile) on July 1,   | Marital Status   Mailing Address (If different) |  |\n| No. Street City/Town Zip Code\u003Cbr>Location of Property  : No. of Dwelling Units: 1  2  3  4  Other ~~ ~~ |  |  |\n| Did you own the property on July 1,   ? Yes  No \u003Cbr>If yes, were you: Sole Owner  Co-owner with Spouse Only  Co-owner with Others Was the property subject to a trust as of July 1,   ? Yes  No  |  | |\n| If yes, please attach trust instrument including all schedules.\u003Cbr>Have you been granted any exemption in any other city or town (MA or other) for this year? Yes  No  If yes, name of city or town   Amount exempted $  |  |  |\n\nDISPOSITION OF APPLICATION (ASSESSORS’ USE ONLY)  \n\n| Ownership  GRANTED \u003Cbr>Occupancy  DENIED \u003Cbr>Status  DEEMED DENIED \u003Cbr>Income  Assets \u003Cbr>Date Voted/Deemed Denied   Certificate No.  \u003Cbr>Date Cert./Notice Sent  \u003Cbr>Exemption: Clause | Assessed Tax $   Exempted Tax $  \u003Cbr>Adjusted Tax $  \u003Cbr>Board of Assessors\u003Cbr>\u003Cbr>Date: |\n| --- | --- |\n\nFILING THIS FORM DOES NOT STAY THE COLLECTION OF YOUR TAXES  \nTHIS FORM APPROVED BY THE COMMISSIONER OF REVENUE  \nB. EXEMPTION STATUS. Check the status that applies to you and complete the questions that follow.  \n BLIND PERSON  \nWere you legally blind as of July 1,   ? Yes  No   \nAre you registered with Mass. Commission for the Blind? Yes  No   \nIf yes, give Certificate Number   Date Registered   Attach copy of certificate. If no, attach a letter from your doctor indicating status as of July 1.  \nIF NO OTHER STATUS APPLIES TO YOU, GO ON TO SECTION E  \n\n| | VETERAN\u003Cbr>VETERAN’S SPOUSE\u003Cbr>VETERAN’S/SERVICEMEMBER’S/ NATIONAL GUARD MEMBER’S SURVIVING SPOUSE or SERVICEMEMBER’S SURVIVING PARENT | Veteran’s Name   Was the property the veteran’s domicile as of July 1,   ?\u003Cbr>Yes  No \u003Cbr>If no, where does the veteran reside?  Deceased Veteran’s/Servicemember’s/National Guard member’s Name  \u003Cbr>If first year of application, attach copy of death certificate.\u003Cbr>If you are surviving spouse, have you remarried? Yes  No  |\n| --- | --- | --- |\n| Date Enlisted/Inducted   Date Discharged   Type of Discharge   If first year of application, attach copy of discharge papers.\u003Cbr>Military Decorations or Awards   Did the veteran/servicemember/national guard member live in Massachusetts for at least 6 months before entering the service? Yes  No  If no, list places and dates where veteran or member lived during the last 6 years or if deceased, the 6 years before death (2 years if local option adopted-See Assessors)\u003Cbr>Address Dates |  |  |\n| Continue list on attachment in same format as necessary. |  |  |\n| If yes to any of the next 2 questions and if first year of application,(1) attach documentationfrom U.S. Dept. of Veterans Affairs, branch of service or doctor 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)\u003Cbr>Was the servicemember or national guard member killed or presumed killed in a combat zone? Yes  No \u003Cbr>Was the servicemember’s or","cbCaieYnQfTYOpdQ","https://ap.wps.com/l/cbCaieYnQfTYOpdQ","pdf",342792,"English","# SENIOR--SURVIVING SPOUSE OR MINOR--VETERAN--BLIND FISCAL YEAR APPLICATION FOR STATUTORY EXEMPTION\n## INSTRUCTIONS\n## A. IDENTIFICATION\n## DISPOSITION OF APPLICATION (ASSESSORS’ USE ONLY)\n## B. EXEMPTION STATUS\n## C. GROSS RECEIPTS FROM ALL SOURCES IN PRECEDING CALENDAR YEAR","[{\"question\":\"Who must file this statutory exemption application, and when is it due?\",\"answer\":\"It must be filed with the Board of Assessors on or before April 1, or 3 months after actual tax bills are mailed for the fiscal year if later.\"},{\"question\":\"What does the application require in the identification section?\",\"answer\":\"Applicants must complete identifying information, including applicant name, telephone number, legal residence (domicile) details, marital status, mailing address, property location, and ownership and trust-related questions.\"},{\"question\":\"If someone qualifies under more than one exemption category, which exemption applies?\",\"answer\":\"The applicant receives the exemption that provides the greatest amount of assistance.\"}]","State Tax Form 96 - Senior-Surviving Spouse Or Minor-Veteran-Blind Fiscal Year Application For Statutory Exemption | PDF",1789785668]