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2. Please Note:

   • Filing of this application does not stop collection of this tax.
   • Incomplete applications will not be accepted.
   • When applying for an adjustment, it is the responsibility of the applicant to contact us for a new amount. A new bill will not be issued.
   • Refunds will be issued for overpayments.
   • No excise may be reduced to less than $5. No abatement for less than $5 will be granted and no refund of less than $5 will be made.

   If you have any questions or concerns, please call 781-698-4578.

   Leased Vehicles - If the vehicle you are applying for an abatement on was a leased car, please do not apply - call the leasing company for a refund, they will need to apply for the abatement.

4. Name(s) (as shown on bill)*
6. Phone Number*
8. Address*
10. City*
11. State*
12. Zip Code*
14. Is your mailing address different from the address shown on the bill you would like adjusted?*

    1. Yes
    2. No
16. Mailing Address*

    If you would like your refund mailed to an address other than the address originally billed, complete this section.

    
    

18. City
19. State
20. Zip Code
22. Bill Number

    Bill number is optional.  

24. Bill Year*
    -- Select One --2023202020212022

26. Please note, if you do not see the bill year you would like us to adjust, you need to contact the Assessor's Office at 781-698-4578 to find out if you are eligible to apply for an abatement.

28. Plate Number*
30. Vehicle Identification Number (VIN)*
32. Vehicle Year*
34. Vehicle Make / Model*
36. Reason for Application*
    -- Select One --Vehicle Sold or TradedVehicle GiftedDisabled Veteran Plate (DV Plate)Vehicle Stolen or Total LossVehicle RepossessedVehicle JunkedVehicle Returned (Example: Lemon Law)Moved From Billing City / TownMoved from MassachusettsHandicapped or Blind ExemptionOther
38. Date Sold or Traded*

    Two documents are required to file for an abatement when the vehicle was sold or traded: the Bill of Sale (with VIN number on it and signatures of buyer and seller) and the plate cancellation receipt from Registry of Motor Vehicles or new registration if the plate transferred to another vehicle. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

40. Name of New Owner*
42. Plate Cancelled or Transferred?*

    1. Cancelled
    2. Transferred
44. Date Plate was Cancelled*
46. Date Plate was Transferred*
48. Make and Year of New Vehicle*
50. Plate Cancellation or New Registration*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

51. Bill of Sale or Purchase Agreement*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png tif pdf.

    Please note, a bill of sale is not valid without the VIN Number and the buyer and seller's signature.

53. Date Gifted*

    Two documents are required to file for an abatement when the vehicle was given to someone: a Gift Receipt (with VIN Number on it and signatures of both parties) and a plate cancellation receipt from Registry of Motor Vehicles or new registration if the plate transferred to another vehicle. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

55. Name of New Owner*
57. Plate Cancelled or Transferred?*

    1. Cancelled
    2. Transferred
59. Date Plate was Cancelled*
61. Date Plate was Transferred*
63. Make and Year of New Vehicle*
65. Plate Cancellation or New Registration*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

66. Bill of Sale or Purchase Agreement*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png tif pdf.

    Please note, a bill of sale is not valid without the VIN Number and the buyer and seller's signature

68. Do you currently have a DV plate on your vehicle?*

    1. Yes
    2. No

    If you have a DV plate or have a letter from the Registry of Motor Vehicles (Medical Affairs Department) stating you are eligible to receive a DV plate, but choose not to have one you may be eligible for an abatement.

70. DV Plate Registration*

    Files must be less than 2 MB.
    Allowed file types: gif jpg jpeg png pdf.

72. Letter of Eligibility*

    Letter from RMV stating you are eligible to receive a DV plate.

    Files must be less than 2 MB.
    Allowed file types: gif jpg jpeg png pdf.

    If you already have a letter from the RMV stating you are eligible to receive a DV plate, please upload the letter to apply. If you do not have a DV plate or a letter from the RMV, please contact the RMV Medical Affairs Department at 857-368-8020 to find out if you are eligible and to receive a letter.

    You can apply for the abatement once you have received the letter from the RMV.

74. Date Insurance Company Took Possession*

    2 documents are required to file for an abatement when the vehicle was stolen or was a total loss:

    1. an Insurance Settlement Letter
    2. a plate cancellation receipt, C-19 Form (Affidavit of lost or stolen plate from RMV) or new registration if the plate transferred to another vehicle.

    Note: the Insurance Settlement Letter must show that the insurance company has taken possession of the vehicle. Offer Letters or letters that show the vehicle was deemed a total loss will not be accepted. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

76. Plate Cancelled or Transferred*

    1. Cancelled
    2. Transferred
78. Date Plate was Cancelled*
80. Date Plate was Transferred*
82. Make and Year of New Vehicle*
84. Plate Cancellation or New Registration*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

85. Insurance Settlement Letter*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

    Please note that the settlement letter must show that the insurance company took possession of the vehicle and should have the VIN Number and date they took possession.

87. Date Vehicle Repossessed*

    Two documents are required to apply for an abatement when a vehicle was repossessed: a notice from lienholder and a plate cancellation receipt, C-19 Form (Affidavit of lost or stolen plate from RMV) or new registration if plate transferred to another vehicle. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

89. Plate Cancelled or Transferred*

    1. Cancelled
    2. Transferred
91. Date Plate was Cancelled*
93. Date Plate was Transferred*
95. Make and Year of New Vehicle*
97. Plate Cancellation or New Registration*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

98. Notice from Lienholder*

    Files must be less than 5 MB.
    Allowed file types: gif jpg jpeg png pdf.

100. Date Vehicle Junked*

     Two documents are required to apply for an abatement when a vehicle was junked: a junkyard receipt with VIN Number and plate cancellation receipt, C-19 Form (Affidavit of lost or stolen plate from RMV) or new registration if plate transferred to another vehicle. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

102. Plate Cancelled or Transferred*

     1. Cancelled
     2. Transferred
104. Date Plate was Cancelled*
106. Date Plate was Transferred*
108. Make and Year of New Vehicle*
110. Plate Cancellation or New Registration*

     Files must be less than 3 MB.
     Allowed file types: gif jpg jpeg png pdf.

111. Junkyard Receipt*

     Files must be less than 3 MB.
     Allowed file types: gif jpg jpeg png pdf.

     Please note, the junkyard receipt must have the VIN Number included to be valid.

113. Date Vehicle Returned*

     Two documents are required to apply for an abatement when a vehicle was returned. The required documents are a letter from dealer certifying return with VIN Number and plate cancellation receipt, C-19 Form (Affidavit of lost or stolen plate from RMV) or new registration if plate transferred to another vehicle. Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.

115. Plate Cancelled or Transferred*

     1. Cancelled
     2. Transferred
117. Date Plate was Cancelled*
119. Date Plate was Transferred*
121. Make and Year of New Vehicle*
123. Plate Cancellation or New Registration*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

124. Letter from Dealer Certifying Return*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

126. Date of Move*

     2 documents are required to apply for an abatement when an owner has moved out of Lexington, but has remained in Massachusetts.

     1. Proof of residency before January 1 of tax year bill (e.g., utility bill before January 1 of tax year bill, voter registration, lease)
     2. Proof the Registry of Motor Vehicles (RMV) was notified of address change before January 1.

     Notes:

     • You are not entitled to an abatement if you moved to another Massachusetts city or town during the same calendar year of the excise tax.
     • You must notify the RMV within 30 days of moving and before January 1 to be billed by your new city or town next year.
     • Please contact the Assessor's Office at 781-698-4578 if you have any questions or need further assistance.
128. Proof of Residency*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

129. Proof RMV notified before January 1*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

131. Date of Move*

     If you have moved from Massachusetts, cancelled your MA plate and have re-registered your vehicle in another state, you may be eligible for an abatement. Two documents are required to be submitted with this abatement application. The documents required are the MA plate cancellation Receipt and your registration from your new state.

133. Massachusetts Plate Cancellation*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

134. New State Registration*

     Files must be less than 2 MB.
     Allowed file types: gif jpg jpeg png pdf.

136. Reason for Exemption*
     -- Select One --Loss of Use of Both Legs or Both ArmsBlind

     This exemption is available to a person who has suffered either (a) an actual loss of or a permanent and complete loss of use of both legs or both arms or (b) a permanent vision impairment of both eyes of the magnitude set out in Massachusetts General Laws, Ch. 60A Section 1.

     This exemption is restricted for each handicapped person to one vehicle at a time, owned and registered by the person for personal, non-business use.

138. Letter from Doctor*

     Must state that you have lost the use of either both arms or both legs.

     Files must be less than 100 MB.
     Allowed file types: gif jpg jpeg png pdf.

     To be eligible for this exemption, you must provide a letter from your doctor that states you have lost the use of both arms or both legs.

140. Certificate of Legal Blindness or Letter from Doctor*

     To be eligible for this exemption you must provide either a Certificate of Legal Blindness or a letter from your doctor that states you have permanent vision impairment of both eyes of the magnitude set out in Massachusetts General Laws, Ch. 60A section 1.

     Must provide Certificate of Legal Blindness or letter from doctor.

     Files must be less than 100 MB.
     Allowed file types: gif jpg jpeg png tif pdf.

142. Other

     If your reason for requesting an abatement isn't listed, please call the Assessor's Office at 781-698-4578. Or leave a comment.

144. Electronic Signature Acknowledgement*

     1. I acknowledge that by providing my e-mail address below, I am electronically signing this Motor Vehicle Excise Abatement Application.
146. Email Address*

     Subscribed to under penalties of perjury (signature of person billed)

148. Question or Comments

150. Please note: After you submit, you will be directed to our confirmation page. You may need to allow pop-ups to ensure you are directed to the confirmation page.

     If you do not see the confirmation page after submitting please call our office at 781-698-4578 to confirm that we have received your application. If you receive any errors while using this application, please contact us to let us know so that we can address these errors.

     Thank you very much for your cooperation and your assistance.

154. FOR ASSESSOR'S OFFICE USE ONLY
156. Calendar Year

      

157. Bill Number

      

158. Months Assessed

      

160. Assessed Excise $

      

162. Abatement $

      

164. Adjusted Excise $

      

Leave This Blank:


166. 1. Receive an email copy of this form.
167. Email address

     This field is not part of the form submission.

168. Submit

* indicates a required field