Please accept this donation to the Town of Natick Elderly and Disabled Taxation Fund. I understand that the funds collected for this program will be used for the purpose of defraying the real estate taxes of elderly and disabled persons of low income.

Amount of contribution: $_____________________ 

(please enclose a separate check payable to the Town c/o Elderly and Disabled Taxation Fund.  Retain your canceled check as your receipt.)

Name:    ____________________________________________________________

Address:____________________________________________________________

Address and mail this form and your check to:

Office of the Tax Collector
Town of Natick
P.O. Box 604
Natick, MA 01760-0006