TOWN OF SAUGUS
TOWN HALL
298 CENTRAL STREET
SAUGUS, MA 01906
Wendy A. Hatch Telephone (781) 231-4135
Treasurer/Collector Fax (781) 231-7652
FISCAL 2011
SENIOR CITIZEN APPLICATION FOR 10% DISCOUNT ON WATER BILL
2002ATM Article 22 as amended by 2007 ATM Article 14
Deadline to file: March 31, 2011
NAME: ___________________________________________________
ADDRESS: ___________________________________________________
____________________________________________________________
Are you the owner of record of the property for which you
are seeking the water bill discount? Yes _____ No _____
Is the above property a single family home? Yes _____ No _____
Do you occupy the property for which you are seeking
the water bill discount? Yes _____ No _____
Does your name appear on the water bill of the property for
which you are seeking the water bill discount? Yes _____ No _____
Are you currently receiving a statutory real estate Yes _____ No _____
exemption, as determined by the Saugus Board of Assessors?
I declare that under the pains and penalties of perjury that to the best of my knowledge and belief the above information is true, correct, and complete.
Applicant Signature: _______________________________________ Date
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