Rev. 9/01
                                                                                                                      Massachusetts
                                                    Form 355SV                                                        Department of
                                                                                                                      Revenue
                             Taxation of Ships and Vessels

Return relative to the taxation of ships and vessels engaged in interstate or foreign carrying trade and documented vessels engaged exclu-
sively in fishing.
For taxable year beginning                                         ending
Name of corporation

Mailing address                                     City/Town                               State                     Zip

General Laws, Chapter 63, Section 67
The Commissioner shall annually assess as of the last day of the   Commissioner is satisfied of the truth of the return filed pursuant
taxable year, as defined in paragraph 6 of section 30, an excise   to section 12 of chapter 62C, he shall deduct said value from the
tax upon the interest of every corporation organized under the     value of its corporate franchise, if it is taxable under section 58. If
laws of the Commonwealth of Massachusetts and having a place       a corporation filing said return is subject to taxation under section
of business therein, in any ship or vessel which has, during the   52A, it shall include in said return the amount of income received
period of its business in the year preceding such day, been        on its interest in any such ship or vessel during the taxable year
engaged in interstate or foreign carrying trade or engaged exclu-  and the commissioner in assessing the tax under section 52A
sively in fishing and documented and carrying “papers” under the   shall first deduct such income from the net income computed
laws of the United States, which tax shall be one-third of one per-pursuant to said section.
cent upon the value of such interest as determined by him. If the

State value of the corporation’s interest in any ship or vessel engaged in interstate or foreign carrying trade or engaged exclusively in fishing and docu-
mented and carrying “papers” under the laws of the United States during the period of its business in the year preceding the last day of its taxable year.
Date of close of taxable year

                                                                   Percent of ownership
                   Registered name of ship or vessel               of reporting corporation      Value of interest
                                                                                            $

Total value of interest
                                                                                            $
Declaration
We, the undersigned president and treasurer of the above-named corporation, each for himself states under the penalties of perjury that to
the best of his knowledge and belief, the items of value as above set forth are true and accurate in every particular.
President’s signature                                                                       Date

Treasurer’s signature                                                                       Date