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DOMINICK PANGALLO MAYOR CITY OF SALEM, MASSACHUSETTS COLLECTOR’S DEPARTMENT 93 WASHINGTON STREET, ROOM 4 TEL. (978) 745-9595 FAX (978) 745-7195 Municipal Lien Certificate Request As of September 1, 2004: $50 per single family, $75 per multi / commercial property Date Requested: Requested By: Phone Check Cash In Person: Parcel Identification: Map Lot Suffix (Can be obtained from www.patriotproperties.com) Address: Unit Assessed Owner: Please check : Sale Refinance Insurance Call for Pickup Self Addressed Envelope for Mailed Return Additional Comments: