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City of Northampton, Massachusetts
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Participant Application for Senior Property Tax Work Off Program - January 1, 2017 - October 31, 2017

  1. Participant Application Senior Property Tax Work Off Program - January 1, 2017 - October 31, 2017
  2. Part A: Eligibility requirements. Please answer the following questions either yes or no.
  3. Are you at leaset 60 years of age?
  4. Are you a Northampton homeowner or the current spouse of a Northampton homeowner?
  5. Are you a Veteran?
  6. Is your Northampton home your primary residence?
  7. Do you own any other properties in MA or any other state?
  8. Do you own and occupy the property for which you are seeking a credit?
  9. Are you a current City of Northampton employee?
  10. Part B. Qualifications
  11. Please check off areas of proficiency:
  12. Please check off comfort levels:
  13. Do you prefer to work outdoors if a position were available?
  14. Do you drive?
  15. Do you have transportation to a work site?
  16. (You will be notified of Acceptance/Non-Acceptance in January 2017 for placement thereafter.)
  17. By typing your name in, I attest that your Northampton residence is your primary residence, and if I qualify for the Senior Property Tax Work Off Program, I understand that what I earn can only be applied as a credit to my City of Northampton Property Tax.
    Please type your full name and today's date.
  18. We thank you for completing this portion of the Senior Tax Credit Program Application! If you have any questions or concerns, please contact Linda Desmond, Director of Northampton Senior Services at 413-587-1231.
  20. Disposition of Application
  23. Leave This Blank:

  24. This field is not part of the form submission.