Harwich Water Department

Water Use Charge Application For Abatement

MUST BE FILED WITH THE HARWICH BOARD OF WATER COMMISSIONERS NOT LATER THAN THE DUE DATE OF FIRST ACTUAL (NOT PRELIMNAY) TAX PAYMENT FOR FISCAL YEAR OF WHICH THE WATER CHARGE BECAME A PART.

If you prefer to mail us your application, please use our printable form (opens in new window).

* - required

*Name of Applicant:

*Mailing Address:

*City/Town:

*State:

*Zip/Postal Code:

The above named person, aggrieved by a Water Use Charge, hereby applies for an abatement

*Date of Water Use Charge:

/ /

*Name of Person Assessed (Owner):

*Location and Description of Property:

(chars left: 100)

*Water Use Charge Assessed:

*Amount Paid:

*Charge Paid By:

*Date Charge Paid:

/ /

IF THE APPLICANT IS NOT THE PERSON ASSESSED, WHAT IS THE APPLICANT'S INTEREST IN THE PROPERTY? (SPECIFY PRESENT OWNERSHIP, MORTGAGE OR OTHER INTEREST)

*Applicant's Interest in the Property:

(chars left: 250)

*When was such interest acquired?:

/ /

*Complete statement for this application:

(chars left: 250)

*Contentions of law raised:

(chars left: 250)

*SUBSCRIBED THIS DAY UNDER PENALTIES OF PERJURY:

/ /

THE FILING OF THIS APPLICATON DOES NOT STAY THE COLLECTION OF THE CHARGE. IT SHOULD BE PAID AS ASSESSED. REFUND WILL FOLLOW IF ABATEMENT IS ALLOWED.

*AGREE?:

I AGREE