Form Center

2. Filing of this application does not stay collection of this tax. Incomplete applications will not be accepted. When applying for an adjustment it is the applicant's responsibility to contact the Collector's Office at 978-640-4340 for a new amount. A new bill will not be issued. Refunds will be issued for overpayment. Please wait five business days to contact the Collector's Office for the new amount due.

   Please Note: 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. 

   Leased vehicles -  Please call the leasing company for a refund, they will need to apply for the abatement.

4. Please Accept*
   -- Select One --Accept

   I acknowledge that I have read the information above and understand that a new bill will not be issued. 

5. Office Use Only:                       

    Assessed Excise   $___________

   Abatement           $___________

   Adjusted Excise   $___________

   Abatement         #____________

   Date ________________________

7. First and Last Name (as shown on bill) *
9. Bill Year*
   -- Select One --2023202220212020

   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 Phone: 978-640-4330 to find out if you are eligible to apply for an abatement.

10. Bill Number*
12. Current Mailing Address*
14. City / Town*
15. State*
16. Zip Code*
18. Phone Number*
20. Plate Number*
21. Last four digits of VIN Number*
23. Vehicle Year*
25. Vehicle Make / Model*
27. Reason for Application*
    -- Select One --Vehicle Sold or TradedVehicle GiftedDisabled Veteran Plate (DV Plate)Vehicle Stolen or Total LossVehicle RepossessedVehicle JunkedVehicle Returned (Ex: Lemon Law)Moved From Billing City / TownMoved from MassachusettsHandicapped or Blind Exemption
29. Date Sold or Traded*

    Two documents are required to file for an abatement when the vehicle was sold or traded. The documents required are Bill of Sale (with VIN number on it and signatures of buyer and seller) AND 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 Phone: 978-640-4330 if you have any questions or need further assistance.

31. Name of New Owner*
33. Date Gifted*

    Two documents are required to file for an abatement when the vehicle was given to someone. The documents required are a Gift Receipt (with VIN Number on it and signatures of both parties) AND a plate cancellation receipt from the Registry of Motor Vehicles or new registration if the plate is transferred to another vehicle. Please contact the Assessor's Office at Phone: 978-640-4330 if you have any questions or need further assistance.

35. Name of New Owner*
37. Gift Receipt or Registration of New Owner*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF. 

    Please note, a valid gift receipt must include the VIN Number and signatures from both parties.

38. Plate Cancellation or New Registration*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

40. Bill of Sale or Purchase Agreement*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

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

42. Plate Cancellation or New Registration *

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

44. 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.

46. DV Plate Registration*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

47. Letter of Eligibility*

    Files must be less than 5 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 Phone: 857-368-8020 to find out if you are eligible and to receive a letter.  You can apply once you have received the letter from the RMV.

49. Date Insurance Company Took Possession*

    Two documents are required to file for an abatement when the vehicle was stolen or was a total loss. The required documents are an Insurance Settlement Letter AND 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. Please 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 978-640-4330 if you have any questions or need further assistance.

51. 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

52. Plate Cancellation or New Registration*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF.

54. Date Vehicle Repossessed*

    Two documents are required to apply for an abatement when a vehicle was repossessed. The required documents are a notice from lienholder 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 Phone: 978-640-4330 if you have any questions or need further assistance.

56. Notice from Lienholder*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

57. Plate Cancellation or New Registration*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

59. Date Vehicle Junked*

    Two documents are required to apply for an abatement when a vehicle was junked. The required documents are a junkyard receipt with VIN Number AND plate cancellation receipt, C-19 Form (Affidavit of the lost or stolen plate from RMV), or new registration if plate transferred to another vehicle. Please contact the Assessor's Office at Phone: 978-640-4330 if you have any questions or need further assistance.

61. Junkyard Receipt*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF.

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

62. Plate Cancellation or New Registration*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF.

64. 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 Phone: 978-640-4330 if you have any questions or need further assistance.

66. Letter from Dealer Certifying Return *

    Files must be less than 5 MB.

    Allowed file types: GIF JPG JPEG PNG PDF

67. Plate Cancellation or New Registration *

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF.

69. Date of Move*

    Two documents are required to apply for an abatement when an owner has moved out of Tewksbury, but has remained in Massachusetts. The required documents are proof of residency before January 1 of tax year bill (e.g., utility bill before January 1 of tax year bill, voter registration, lease) and proof the Registry of Motor Vehicles (RMV) was notified of address change before January 1. Note: 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 Phone: 978-640-4330 if you have any questions or need further assistance.
    
    

71. Proof of Residency*

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

72. Proof RMV notified before January 1 *

    Files must be less than 5 MB. Allowed file types: GIF JPG JPEG PNG PDF

74. Date of Move*

    If you have moved from Massachusetts, canceled 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.

76. New State Registration*

    Files must be less than 2 MB. Allowed file types: GIF JPG JPEG PNG PDF

77. Massachusetts Plate Cancellation*

    Files must be less than 2 MB. Allowed file types: GIF JPG JPEG PNG PDF

79. 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 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.

81. 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

83. Certificate of Legal Blindness or Letter from Doctor *

    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

    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 Ch. 60A section 1.

85. Plate Cancelled or Transferred*

    1. Cancelled
    2. Transferred
87. Electronic Signature*
89. Electronic Signature Acknowledgement

    1. I acknowledge that by providing my email address below, I am electronically signing this Motor Vehicle Excise Abatement Application.
91. Email Address*
Leave This Blank:


93. 1. Receive an email copy of this form.
94. Email address

    This field is not part of the form submission.

95. Submit

* indicates a required field