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2. Property Identification
4. Condominium Name:*
6. Unit Address:*
8. Owner Name(s):*
10. Mailing Address: *
12. Occupancy*

    1. Owner-Occupied
    2. Tenant-Occupied
    3. Vacant
16. Building / Complex Information (Common Elements)
18. Roof Type:*

    1. Gable
    2. Hip
    3. Flat
    4. Mansard
    5. Other
20. Other:
22. Roof Cover:*

    1. Asphalt
    2. Rubber
    3. Membrane
    4. Metal
    5. Other
24. Other:
26. Exterior Finish:*

    1. Vinyl
    2. Wood
    3. Brick
    4. Stucco
    5. Composite
    6. Other
28. Other:
32. Unit Characteristics
34. Unit Type:*

    1. Garden
    2. Townhouse
    3. Other
36. Other:
38. Floor Levels:*
40. Bedrooms:*
42. Full Baths:*
43. Half Baths*
45. Layout:*

    1. Typical
    2. End Unit
    3. Corner unit
47. Finished Basement:*

    1. Yes
    2. No
49. Portion Finished:

    1. 1/4
    2. 1/2
    3. Full
    4. Other
51. Other:
53. Approximate Finished Area (in sq ft):
57. Mechanical Systems (Unit)
59. Heating Type:*

    1. Hot Air
    2. Hot Water
    3. Electric
    4. Heat Pump
    5. Other
61. Other:
63. Fuel:*

    1. Gas
    2. Oil
    3. Electric
    4. Other
65. Other:
67. Cooling:*

    1. None
    2. Central A/C
    3. Ductless
    4. Window Units
69. Electrical*

    1. Circuit Breakers
    2. Fuses
    3. Updated
71. Water / Sewer*

    1. Public
    2. Private
73. Specify Private Sewer
77. Amenities (Check All That Apply)*

    1. Balcony/Patio
    2. Deck
    3. Fireplace
    4. Storage Unit

    1. Assigned Parking
    2. Garage
    3. Pool

    1. Fitness Room
    2. Clubhouse
    3. Security System
79. Garage Type:

    1. Detached
    2. Under
83. Parking
85. # of Spaces:*
87. Type:

    1. Open
    2. Covered
    3. Garage
91. Recent Updates or Improvements (Last 10-15 Years)*

    1. Kitchen
    2. Bathrooms

    1. Flooring
    2. HVAC

    1. Electrical
    2. Windows

    1. None
93. Bried Description/ Approximate Years
97. Homeowner Certification

    This form is provided as part of the local assessing authority’s cyclical inspection program. The Massachusetts Department of Revenue requires assessors to review and verify property characteristics on a cyclical basis, generally at least once every ten (10) years, in order to ensure fair and equitable assessments.

    The information provided on this form may be used by the assessing authority to verify or update property record information.

    I hereby certify, under the penalties of perjury, that the information provided on this form is true, complete, and accurate to the best of my knowledge and belief. I understand that providing false or misleading information may result in penalties as provided by Massachusetts law.

99. Owner Signature*
100. Date*
     Date
102. Email*
Leave This Blank:


104. 1. Receive an email copy of this form.
105. Email address

     This field is not part of the form submission.

106. Submit

* indicates a required field