The form in 209 CMR 56.04 published in the Massachusetts Register on March 2, 2012 contained two wording matters that will be corrected. The corrections will be effective as of March 2, 2012, and will be printed in the Massachusetts Register on March 30, 2012. The changes are in the French version of the declaration, and the reinsertion of the introductory phrase: "Make your payments to:". Click here for the form of the notice in 209 CMR 56.04 in its corrected form .
Note: This form may not be altered, modified, amended or changed in any way other than to insert the required information.