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26-000885 2.pdf

Susan M Stines-VanCourt Petitioner V Township Of Oshtemo Respondent · 26-000885-TT

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Page 1

RECEIVED 

JUN 01 200 

Mic, 

ean TAX TR 

“ 

1 

STATE OF MICHIGAN 

BUNAL 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 1. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL ANSWER FORM 

POVERTY EXEMPTION 

MTT DOCKET NO. 26-000885 

Section 1: Respondent’s Contact Information 

Unit of Government 

Oshtemo Charter Township 

Malling Address (No., Street, P.O, Box or Rural Route): 

7275 West Main St. 

City or Town: 

State: 

Zip Codd: 

Kalamazoo 

Ml 

{49009 

Telephone Number: 269-375-7 1 95 

Emall Address {do not enter unless you want MTT to send all correspondence via emall): 

legal@oshtemo.org 

Section 2: Respondent’s Attorney/Authorized Representative’s Contact Information 

First Name: 

Last Name: 

James 

Ww 

Porter 

Fmt 

Oshtemo Charter Township Legal Department 

Malling Address (No., Street, P.O, Box or Rural Route); 

7275 West Main St. 

City or Town: 

State: 

2IP Code: 

Kalamazoo 

MI 

[49009 

Telephone Numer 569-375-7195 

Email Address {do not enter unless you want MTT to send all correspondence via emall): 

legal@oshtemo.org 

Section 3: Subject Property Information 

Parcel identification Number: 

3905-27-430-060 

Section 4: Explain Your Answer to this Appeal 

The tax return for petitioner shows adjusted gross income for 2025 of $65,013.00. This is]

Page 2

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 5: Jurisdictional Issues 

Did Petitioner request a Poverty Exemption at a Board of Review (BOR)? 

© Yes 

[J No 

If yes, check which BOR Petitioner attended: 

March 

O July. 

[J December 

Date the BOR decision was Issued; 3/1 2/2 026 

Tax year(s) denied: 202 6 

Signatu I'€ 

*Required 

Respondent or Altorney/Authorized Representalive’s 

8 — 

Is! 

Sf FAanan

Page 3

vv 

Rn 

Sy 

of 

Treas 

p-007 

Petition to Board of Review 

L-4035 

This form is Issued under the authority of PA. 208 of 1893, as amended. Flling is voluntary, however, you may not appeal to the Michigan Tax Tribuna! unless you first protest to the 

Board of Review, xcept when the property is classified as commercial real, industrial real, or developmental real. You may not appeal property classifications tothe State Tax 

Commission unless you first protest to the Bard of Review. 

“JE COMPLETED BY OWNER OR OWNER'S AGENT 

WIGFE Name (Please Print or Type) 

STINES-VANCOURT SUSAN M & TODD M 

“Townstip of Gly 

County 

Year of Appeal 

OSHTEMO 

KALAMAZOO 

The undersigned protests the assossed value and/or the tentative taxable value andlor the property classificetion and/or the qualified agricultural property exemption of 

the following described property: 

Property [dented (Parcel code required. Property address and regal description aptonal) © 

05-27-430-060 

SEC 27-2-42 COMAT THEE #4 COR SEC 27 THW 121 FTALG EQW1/4 Lt SD SEC TO PL OF BEG THS 165 

FT PAR TO 

ELI SD SEC 27 THE 88 FT PAR 

TO THE EBW1/4 LI OF SEC 27 TO THEWLY 

ROW LI OF 8THST 

THN 165 FT PAR TO THE E LI SD SEC 27 TO E&W1/4 LI SD SEC 27 TH W 88 FT ALG E&W1/4 LI §D SEC 27 

2424 S 8TH ST 

TOPL OF BEG *H 276-6 

Pettioners Name (If Other than Owner. Please PAft of Type) 

Protested Item [] Assessed Value 

[1] 

Tentative 

[J Taxable Status 

[J 

Classification 

[J 

Quaiifed Agricultural 

Taxable Value 

(exemption) 

Property Exemption 

1. PROTEST OF ASSESSMENT 

Complete this section for a protest of assessed valu, Including assessed value changes associated with exempt status and denied or late filed personal 

property forms. 

Assessed Value 

‘Owner's Esiimate of Trua Cash Valug(Market Value) 

122,500 

2. PROTEST OF TAXABLE VALUE 

~ 

Complete this section for a priest of Taxable Value 

won: 

[1 Value of Losses 

[J 

Value of Additions 

[J Poverty Exemption 

~~ [J 

Uncapping % 

3. PROTEST OF CLASSIFICATION. 

f 

Complate tis section for a request to change the classification. The Board of Review must make thelr decision regarding classification in ‘accordance wih Section 211.346 of the 

Michigan Compiled Laws. The Board of Review shall not be Influenced by the effect that a particular clessification has on that property's status as a homeowner's principal residence 

or qualified agricultural property. 

Classification of property on this year's assessment roll: 

401 

Classification shoud be: (Pleas chock one 

of the Toowing) 

0 Agricultural 

[3 Industrial 

CO Timber Cutover 

[J utiity (Personal Property Only) 

[J commercial 

[J Residential 

Cpevelopmental 

3. PROTEST OF EXEMPTION FOR QUALIFIED AGRICULTURAL PROPERTY 

: 

Tf the assessor has denied or changed the percentage of the exemption from the 18 mills of local school operating tax for qualified agricultural property, the 

owner may appeal this action to the March Board of Review. THE BOARD OF REVIEW HAS NO AUTHORITY TO CONSIDER OR ACT UPON THE 

EXEMPTION FROM THE 18 SCHOOL OPERATING MILLS FOR HOMEOWNER'S PRINCIPAL RESIDENCE PROPERTIES. 

‘Parcent qualified agricultural exemption granted by assessor. (Enter 0 if exemption Is denied) 

| Percent qualified ‘agricultural exemption requested by Owner: (Enter 100 if full 

exemption requested) 

REASON FOR PROTEST 

State reason(s) for protest of assessed value andlor the tentative taxable value and/or taxable status and/or classification and/or qualified agricultural property exemption.

Page 4

Form 818, Page 2 

FOR BOARD OF REVIEW USE ONLY 

INSTRUCTIONS: Incorporate a copy of this form and the assigned number in the Board of Review minutes. 

| Patition Number 

Parcel Codo 

: 

P-007 

05-27-430-060 

1. ASSESSED VALUE 

[1 Assessed 

Value Changed From: 

| 

122,500 

ro: 

[ 

1 

"Record of Vote 

- Board of 

member 

itteg 

of board 

Chairperson: 

ts 

[O Wid Member: 

[}7ES 

[1 vo dM 

Member: 

es 

no 

Initiale 

Initials 

Reason for Board Action: 

if you disagres with tha decision of the Board of Review regarding tentative assessed value, you may appeal that decision by filing a petition with the Michigan Tax Tribunal at 

PO Box 30232, Lansing Mi 48809. Commercial Real, Industrial Real, Developmental Real, Commercial Personal, industrial Personal and Utifity Parzonal Property may be 

lappeated by May 31. Agricultural Real, Residential Real, Timber - Cul Over Real, and Agricultural Personal Property may be appealed by July 31. The petition must be filed on 

a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at www.michigan.govitaxtrib. 

2. TENTATIVE TAXABLE VALUE 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

[J 

veniea 

[J 

Tentative Taxable Value Changed From: 

109,265 

Yo. 

(See attached L-4035A) 

Record of Vote - Board or three member committee of board. 

Chairperson: [1 Yes 

[J no____ 

Member 

[] ves 

[J No____ 

Member 

[Jves 

[Jno 

intials 

Inttials 

Initials 

Reason for Board Action: 

1 ny disagrae with the decision of the Board of Review regarding tentative taxable value, you may appeal that decision by filng a petition with the Michigan Tax Tribunal at 

"ox 30232, Lansing MI 46809. Commercial Real, Industrisi Real, Developmental Real, Commercial Persona), Industria! Personal and Utility Parsongl Property may be 

.. . <aled by May 31. Agricultura! Res), Residential Real, Timber - Cut Over Real, and Agricuttural Personal Property may be appealed by July 31. The petition must be filed 

lon & Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at www.nichigan.goviaxtrib. 

3. CLASSIFICATION 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

[J 

Denied 

[J 

Classification Changed From: 

401 

To; 

Record of Vote - Board or three member committee of board. 

Chairperson: [J YEs 

[J NO 

Member: 

[J yes 

[J 

no 

Member 

[] ves 

[Ono 

inftials 

Initials 

Initials 

Reason for Board Action: 

If you disagree with the decision of the Board of Review regarding classification, you may appeal by sending Form 2167 to the State Tax Commisston, £0 Box 30471, Lansing 

[MI 48509 by June 30. 

4. QUALIFIED AGRICULTURAL PROPERTY EXEMPTION 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

O 

Exemption Request Denled 

a 

Exemption percent modified from 

% To: 

% 

Record of Vole - Board ar three member committee of board. 

Member: 

[J Yes 

[J no

Page 5

2026 BOARD OF REVIEW DECISION 

FROM 

CHARTER TOWNSHIP OF OSHTEMO 

ASSESSOR'S OFFICE 

7275 W MAIN STREET 

KALAMAZOO, MI 49009-9334 

NAME AND ADDRESS OF OWNER OR PERSON NAMED ON ASSESSMENT ROLL: 

PROPERTY IDENTIFICATION: (Parcel Code required. Property address 

and legal description optional.): 

39-05-27-430-060 2424 S STH ST 

STINES-VANCOURT SUSAN M & TO 

SEC 27-2-12 COM AT THEE1/4 COR SEC 27 TH W 121 FT ALG 

2424 S 8TH ST 

E&W1/4 L1 SD SEC TO PL OF BEG TH 8 165 FT PAR TOE LI 

KALAMAZOO MI 49009 

SD SEC 27 TH E 88 FT PAR TO THE E&W1/4 L1 OF SEC 27 TO 

THE WLY ROW L] OF 8TH ST THN 165 FT PAR TO THEE 

LI 

SD SEC 27 TO E&W1/4 LI SD SEC 27 TH W 88 FT ALG 

E&W1/4 L1 SD SEC 27 TO PL OF BEG *H 27-6-6 

THIS PROPERTY IS CLASSIFIED 

401 

(RESIDENTIAL-IMPROVED) 

Thank you for attending this years March Board of Review. The Board has reviewed the information you supplied and the data necessary 

to compute your assessment and taxable value. 

The Board has completed their review of parcel number 39-05-27-430-060 

They have made the following determination based on the information you supplied. 

Board of Review Comments 

REASON FOR PROTEST: POVERTY EXEMPTION. 

RAP ACTION: POVERTY EXEMPTION DENIED. INCOME IS ABOVE TOWNSHIP THRESHOLD. 

[2026 ORIGINAL ASSESSED VALUE 

122,500 

] 

[2026 "BOARD OF REVIEW" ASSESSED VALUE 

122,500 

| 

(If the above amounts are the same, no revisions have occured) 

2026 ORIGINAL TAXABLE VALUE 

109,265 

2026 "BOARD OF REVIEW" TAXABLE VALUE 

109,265 

2026 PRINCIPAL RESIDENCE EXEMPTION/QUALIFIED AG 

100.0000 

Please feel free to contact the assessor at the address listed above or call 269-216-5225 if you have any questions. 

If you disagree with the decision of the Board of Review regarding the tentative taxable value, further appeal may be make to the Michigan 

Tax Tribunal by May 31 for Commercial Real, Industrial Real, Development Real, Commercial Personal, Industrial Personal and Utility 

Personal Property and by July 31 for Agricultural Real, Residential Real, Timber - Cut Over Real and Agricultural Personal Property. 

Petition forms are available at www.michigan.gov/taxtrib 

Michigan Tex Tribunal

Page 6

Michigan Departmant of Treasury 

p 007 

5737 (Rev. 10-25), Page 1 of 4 

Application and Affirmation for MCL 211.7u Poverty Exemption 

This form Is issued under the authority of the General Property Tax Act, Public Act 206 of 1893, MCL 211.7u. 

MCL 211.7u of the General Property Tax Act, Public Act 206 of 1893, provides a property tax exemption for the principal 

residence of persons who, by reason of poverty, are unable to contribute toward the public charges, This application is 

to be used to apply for the exemption and must be filed with the Board of Review whare the properly is located. This 

application may be submitted to the city or township where the property is located In each year on or after January 1 but 

before the day prior to the last day of the board of review. Poverty Exemptions may be heard by the Board of Review 

during its March, July, and December sessions. 

To be considered complete, this application must: 1) be completed in its entirety, 2) include information regarding all 

members residing within the household, and 3) include all required documentation as listed within the application. Please 

write legibly and attach additional pages as necessary. 

PART 1: PERSONAL INFORMATION — Petitioner must list all required personal information. 

Peltioner's Name 

Daytime Phone Number 

SuSen 

mM, stines-Van Court 

209-503-0631 

Age of Petitioner 

Mariial Status 

Age of Spouse 

Number of Lege! Dependents 

(2 

Mariel 

+o 

Zz 

Property Address of Principal Residence 

City 

State 

ZIP Code 

2424 5. FT Shveek 

elamazas 

mI 49009 

PART 2: REAL ESTATE INFORMATION 

List the real estate information related to your principal residence. Be prepared to provide a deed, land contract or other 

evidence of ownership of the property at the Board of Review meeting. 

Property Parcs! Identiftcation Number 

Name of Mortgage Company 

3905-27-430-060 

Member 15. Martaaqe 

Unpald Balance Owed on Principal Residence 

Monthly Payment 

g 

Length of Time at this Residence 

124,140. 

«° 

bl. + 

Syers 

Proper 

TANEETJF Com SEC 27TH W IZU FT ALG Ex 

W 1/4 

az 

Cer ARAN; Ang 

PAR. “Te 

€ | 5D SEC 27 ta 

€ 38 PAR 

Ls 

271 To THE wLY @6u CI oF ITH ST TW NLS 

TT 

tae To THe L) 

sD see 

27 TO E-+W 

1/4 

el Sp 

set. ZT TH 

WB FT As 

TC 1 sD sea 277 To PL oF BEG 

F HZT 766 

PART 

3: AFFIRWIATION OF OWNERSHIP, OCCUPANCY; AND INCOME STATUS (Check 

all bakes that apply) 

Eg own the property in which the exemption is being claimed. 

[A The property In which the exemption Is being claimed is used as my homestead. Homestead is generally defined 

as any dwelling with its land and buildings where a family makes its home. 

PART 4: ADDITIONAL PROPERTY INFORMATION 

List information related to any other property owned by you or any member residing in the household.

Page 7

6737, Pega 2 0f 4 

PART 5:'EMPLOYMENT INFORMATION — List your current employment information. 

Name of Employer 

: 

N/a 

Address of Employer 

City 

State 

21P Cede 

Contact Person 

Employer Telephone Number 

PART 6: INCOME SOURCES 

List all income sources, including but not limited to: salaries, Social Security, rents, pensions, IRAs (individual 

retirement accounts), unemployment compensation, disability, government pensions, worker's compensation, 

dividends, claims and judgments from lawsuits, alimony, child support, friend or family contribution, reverse mortgage, 

or any other source of income, for all parsons residing at the property. 

Monthly or Annual Income 

Source of Income 

(indicate which) 

Social 

Securi ly Disability 

222.6-°° moctily 

1 

Nakional Guenp Trdustvial Pepsion Plan 

309.47 

monthly 

| 

I 

4 

2,4 2S. § 5) 

PART 7: CHECKING, SAVINGS AND INVESTMENT INFORMATION 

List any and all savings owned by all household members, including but not limited to: checking accounts, savings 

accounts, postal savings, credit union shares, certificates of deposit, cash, stocks, bonds, or similar investments, for all 

persons residing at the property. 

Name of Financial Institution 

Amount 

Current 

Value of 

or Investments 

r 

on Deposit 

jinterest Rate| 

Name on Account 

r 

Investment 

NA Communiky 

Credit 

Wien | 

3 

Susan M. $Hines-VonGouy 

ow 

1 

4g i. H 

win 

Todd 

A. Stipes 

~Vou Gourd 

491.48 

smitl Communiky Crditlisn| 

376-43 

pin 

| Todd m.Shires-Vbnlant | 576 4% 

R 

fi 

Susan mM Sines 

Ve. Coust 

Adin 

Credit Ania 

$2.94 

»la 

34d 

Sires ~anCaurt 

s2. kA; 

PART 8: LIFE INSURANCE — List all policies held by all household members. 

Amount of 

Monthly 

Policy Paid in 

Relationship to 

Name of Insured 

Policy 

Payments 

Full 

Name of Beneficiary 

Insured 

PART 9: MOTOR VEHICLE INFORMATION

Page 8

5737, Page 3 of 4 

PART 10: HOUSEHOLD OCCUPANTS — List all persons living In the household. 

. 

Relationship 

$ Contribution to 

) 

First and Last Name 

Age 

to Applicant 

| Place of Employment | Family Income 

Susan Stipes-Vanlart | 

(Zz | 

Self 

ria 

3635.4 unthly 

7 

Todd 

Shines -Von Lowe? 

46 

Spouse 

MN lA 

0 

PART 11: PERSONAL DEBT — List all personal debt for all household members, 

Date 

Creditor 

Purpose of Debt 

of Debt 

| Original Balance Monthly Payment] Balance Owed 

Member 1st, Mork] 

Movkagae 

1-1-2021] 73006. °° 

| ¢z). 48 

| 124, 1q0.¢0 

F Ove 

HELOC 

10432023] 5's s2008.00 | 118-33 

| 22,083.57 

Adve Credit Wien, 

PART 12: MONTHLY EXPENSE INFORMATION 

The amount of monthly expenses related to the principal residence for each category must be listed. Indicate N/A as 

necessary. 

Heating 

ne. 00 

Fess '. 00 

Walter aia 

Pe 

<5 

cae qe ° 

Food 7 So BS °o 

Clothing 160 

006 

tx 5

Page 9

5737, Page 4 of 4 

NOTICE: 

Per MCL. 211.7u(2)(b), federal and state income tax returns for all persons residing in the principal residence, 

including any property tax credit returns, filed in the immediately preceding year or in the current year must be submitted 

th this application. Federal and state income tax returns are not required for a person residing in the principal residence 

[f that person was not required to file a federal or state income tax return in the tax year in which the exemption under this 

section is claimed or in the Immediately preceding tax year. 

PART 13: POLICY AND GUIDELINES ACKNOWLEDGMENT 

The governing body of the local assessing unit shall determine and make available to the public the policy and 

guidelines used for the granting of exemptions under MCL 211.7u, In order to be eligible for the exemption, the 

applicant must meet the federal poverty guidelines published in the prior calendar year in the Federal Register by the 

United States Department of Health and Human Services under its authority to revise the poverty line under 42 USC 

9802, or alternative guidelines adopted by the governing body of the local assessing unit so long as the altemative 

guidelines do not provide income eligibility requirements less than the federal guidelines. The policy and guidelines 

must include, but are not limited to, the specific income and asset levels of the claimant and total household income 

and assets. The combined assets of all persons must not exceed the limits set forth in the guidelines adopted by the 

local assessing unit. 

(he applicant has reviewed the applicable policy and guidelines adopted by the city or township, including the 

specific income and asset levels of the claimant and total household income and assets. 

PART 14: LEGAL DESIGNEE INFORMATION (Complete if applicable.) 

Legal Designee Name 

Daytime Yelophone Number 

Malling Address 

City 

State 

ZIP Code 

PART 15: CERTIFICATION 

| hereby certify to the best of my knowledge that the information provided in this form is complete, accurate and 

| am 

eligible for the exemption from property taxes pursuant to Michigan Compiled Law, Section 211.7u. 

Printed Name 57 os 

41 SH 118%= Vor Cou rT 

Signature <7 

IN. S rt “Salo? 

Date 

Tad 

M- Shnes—Jalovwr 

Te 

SE 

I 

2-19-20 

fe aR 

=r, 

This application shall be filed after January 1, but before the day prior to the last day of the local unit's December 

Board of Review. 

Decision of the March Board of Review may he appealed by petition to the Michigan Tax Tribunal by July 31 of 

the current year. A July or December Board of Review decision may be appealed to the Michigan Tax Tribunal by 

petition within 30 days of decision. A copy of the Board of Review decision must be included with the petition. 

Michigan Tax Tribunal 

PO Box 30232 

Lansing MI 48909 

Phone: 517-335-9760 

Emall: taxtrib@michigan.gov

Page 10

Michigan Department of Treasury 

5739 (01-21) 

Affirmation of Ownership and Occupancy to Remain Exempt by 

“of Poverty 

* 

fhis form is issued under the authority of Public Act 263 of 2020. 

i 

This form is to be used to affirm ownership, occupancy, and income status, MCL 211.7u(2) provides that, 

Sligible for 

exemption under this section, a person shall, subject to subsection (6) and (8), annually affirm that the applicant owns and 

occupies, as a principal residence, the property for which an exemption is requested. 

PART 1: OWNER INFORMATION — Enter information for the person owning and occupying the residence. 

‘Owner Name 

J 

Owner Telephone Number 

Susan M. Stines-Van Covet 

269-502-068 | 

Malling Address 

ji 

City 

State 

ZIP Code 

2424 5.8 Shared 

Kalamazos 

mE | 49009 

PART 2: LEGAL DESIGNEE INFORMATION (Complete if applicable.) 

Legal Designee Name 

Daytime Telephone Number 

Malling Address 

City 

State 

ZIP Code 

PART 3: HOMESTEAD PROPERTY INFORMATION ~~ Enter information for property in which the exemption is being claimed. 

City or Township (check the appropriate box and enter name) 

County 

Clcity 

[Township 

[] Village 

| 

petdern Yalamazoo 

Name of Local School District 

Ralamazoo 

Parcel Identification Number 

Year(s) Exemption Previously Granted by Board of Review 

39-05-2"7-436-060 

Homestead Property Address 

City 

State 

ZIP Code 

Z424 5-7 Sheek 

Rhalamazeo 

ME 

45009 

‘PART 4: AFFIRMATION OF OWNERSHIP, OCCUPANCY, AND INCOME STATUS (Check all boxes that apply.) 

[A 

own the property in which the exemption is being claimed. 

[Whe property in which the exemption is being claimed is used as my homestead. Homestead is generally defined 

as any dwelling with its land and buildings where a family makes its home. 

[A After establishing Initial eligibility for the exemption, my income and asset status has remained unchanged and/or 

| receive a fixed income solely from public assistance that is not subject fo significant annual increases beyond the 

rate of inflation, such as federal Supplemental Security Income or Social Security disability or retirement benefits. 

PART §: CERTIFICATION 

| hereby certify to the best of my knowledge that the Information provided on this form is true and 

| am eligible to receive 

an exemption from property taxes by reason of poverty pursuant to Michigan Compiled Law, Section 211.7u. 

Omer 

i oga Oasines Nas (eri), 

J == 

Date seZC 

Susan 1. Skinss Aner?” 

Tete 

#1. She 

- Va Ct 

2 19- Thm

Page 11

Michigan Department of Treasury 

4988 (05-12) 

Poverty Exemption Affidavit 

. 

‘his form is issued under authority of Public Act 208 of 1883; MCL 211.7u. 

INSTRUCTIONS: When completed, this document must accompany a taxpayer's Application for Poverty Exemption filed 

with the supervisor or the board of review of the local unit where the property is located. MCL 211.7u provides for a whole 

or partial property tax exemption on the principal residence of an owner of the property by reason of poverty and the 

inability to contribute toward the public charges. MCL 211.7u(2)(b) requires proof of eligibility for the exemption be provided 

to the board of review by supplying copies of federal and state income tax returns for all persons residing in the principal 

residence, Including property tax credit returns, or by filing an affidavit for all persons residing in the residence who were not 

required to file federal or state income tax returns for the current or preceding tax year. 

Todd 

pr. Hines AVanCourt™ 

|, Susan m. Stines -Van Court 

, swear and affirm by my signature below that 

| 

reside in the principal residence that is the subject of this Application for Poverty Exemption and that 

for the current tax year and the preceding tax year, 

§ was not required to file a federal or state income 

tax return. 

Address of Principal Residence: 

_Z 42-4 

<S.8 Th Shoot 

Ralamazes 

, mL 47007 

Ton Sn Volo CD 

z-19-2¢ 

Signature of Person Making Affidavit 

Date

Page 12

v 

Dopartmont 

of tho Treasury 

—Intema Revonua Service 

£1040 U.S. individugl Income Tax Return 2025s oso] 

IRS Uso Orly-—Do rot wit 

ot stag 

In ta apoco. 

For tho year Jan. 1-Deo. 31, 2025, or othor tax year beginning 

, 2025, ending 

,20 

| Soo sopamts instructions. 

] Fuod pursuant to paction 301.9100-2 [| Combat zone 

"J 

Deceased 

Spouse 

Cother 

| 

| 

Your first name and middlo Initial 

Last namo 

Your soelal sscuritv number 

susan 

Stines-VanCourt 

It folnt ratum, apousa’s first namo and middle tttial 

Last name 

‘Spouse's 

social security number 

Todd M 

Stines-VanCourt 

Homo address (number and street). If you have a P.O. box, see lngtruotions. 

Apt. no. 

Chieck hare ¥ your main koms, and your 

2424 

S 8th St 

ET 

City, town, or post office. If you have a forelgn address, also complote spaces bolow, 

Stato 

2P codo 

Prosidontial Election Sampalon 

Kalamazoo 

MI 

490099378 

ins oy Lh ads To 

Foreign country name 

Foreign province/stata/county 

Foreign postal codo tla tind, Chocking a bx ol) 

[You 

_ [']Spouse 

Filing Status 

 L Single 

[J Head of housshold (HOH) 

Check only 

[XI Mared fling jointly (even If only one had Income) 

[J Quarttying surviving spousa (ASS) 

one box. 

[ Marrled fillng separately (MFS). Enter spouse's 

SSN above 

Hf you chacked 

the HOH or QSS box, enter the child's name 

and full name here: 

tf the qualtfying person is a child but not your dependent: 

[J t treating a nonresident alien or dual-status allen spouse as a U.S. resident for the entire tax year, check the box and enter their 

name (see instructions and atiach statement if required): 

At any time during 2025, did 

you: 

(a) 

receive (as a reward, award, or payment 

for 

proj 

or services); 

or (b) sell, 

Digitel Assets exchange, or olhonates Bo 

oe 

Be rr. 

inferest in a digital fiat 

5 

feos in ton a) oo 

[ives 

Sino 

Dependents 

Dependent 1 

Dependent 2 

Depondont 3 

Dependent 

(s00 Instructions) 

(1) Arstname | Matthew 

C 

{more 

@isstnamo 

| Stines~VanCouxt 

than four 

8 SSN 

dependents, 

(@ Rotationship| Son 

and chk one ey REG 

w [Ives 

@ [Ives 

@ Ll ves 

here. 

00 

a tat oroes 

©) 

[Kl andthe 

Us. 

® [Jandintheus. 

©) [J Andinthe 

us. 

@® [JAdinthe 

us, 

moos 

| 

Cisgty |Cletg|C se |g [Cote | pmeg Dr [Clog 

Meds 

| LJ Ctx [Bq Crodrfor 

| [Johan |) Gdnfor |] Chix |[] Godfor 

| 1 Cilla 

| [7] Grodit 

for 

Jopindorts 

dspondorts 

Sepandonts 

J Check 

tf your filing status 

Is MFS 

or HOH and you lived apart from your spouse 

for the last 6 months of 2025, or you are legal 

separated according to your state law under a written 

n agreement or a decree of separate maintenance and you did 

not 

live [n the sams housshold as your spouse at the end of 

2025. 

income 

1a 

Total amount from Form(s) W-2, box 1 (soolnatructions) 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

| 1a 

24,565. 

Attach Form(s) 

b 

Household employeo wages not reportedon Form@W-2 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

1b 

WD bare, Aso 

¢ 

Tipincome not reported on line 1a (see instructions) 

. 

. 

. 

. 

Ce 

ee 

ee 

1c 

W-20 and 

d 

Medicaid walver payments not reported on Form(s) W-2 (see instructions) 

Cee 

eee 

1d 

lente 

© 

Taxable dependent care benefits from Form 2441, lne28 

 . 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

|1e 

you did not 

1 

Employer-provided adoption benefits from Form 8839, ned. 

. 

. 

. 

. 

. 

. 

. 

. 

. 

1 

get a Form 

g 

Wages from Form 8919, llne6 . 

. 

. 

FE 

I. 

oe, 

h 

Other eamed Income (see Instructions). Enter po and amount: 

1h 

0. 

| 

Nontaxable combat pay election (see instructions) . 

. 

. 

. 

. 

. 

[ 

11 

| 

2 

Addilnesdathrough®h 

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+. 

+ 

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ew 

ee ee 

eo. 

LR 

24,565. 

Attach 8ch. 8 

20 

Tex-oxemptinterest 

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. 

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20 

b Taxable interest 

i 2b | 

325, 

H required. 

Sa 

Qualified dividends 

. 

. 

3a 

15.1 

b Ordinary dividends 

. 

3b 

15. 

© 

Check f your child's dividends are included In 

1 

[J Une 3a 

2 [J Une 3b 

4a 

[RAdistributions 

. 

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4a 

b Texableamount. 

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Cheokif (see instructions) 

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sd

Page 13

Form 1040 (2025) 

Page 2 

Tax and 

11b 

Amount from line 11a (adjusted grossincome} 

. 

. 

. 

+. 

. 

+. 

. 

. 

« 

. 

+ 

. 

+ 

. 

+ 

. 

11ib] 

65,013. 

Credits 

12a 

Somecnecanclaim 

LJ] Youasadspendent 

{J Your spouse as a dependant 

. 

© 

b 

[J spouse Hemizes on a separate retum 

¢ [J You wero a dual-status allen 

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d 

vou 

[J wera bom before January 2, 1961 

0 Are blind 

m5). Spouse: [] Was bom before January 2, 1961 

[3 ts bind 

waductlonfor— © Standard deduction or tomizod deductions (from Scheduled). 

. 

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. 

. 

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1% 

31,500. 

rg ring 

13a 

Qualified business income deduction from Form 8985 or Form 8098-A 

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. 

. 

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. 

. 

. 

. 

113 

separately, 

b 

Additional deductions from Schedule 1-A, line 38 

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. 

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. 

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. 

. 

. 

. 

. 

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[13D 

52. 

ing 

14 

Addfines2e,13a,and13b 

. 

. 

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RE 

RT 

31,552. 

[only of 

16 

Subtract 

Une 14 from fine 11b. i zero or lass, ontor +0-. This ts your taxablo income A 

I |] 

33,461. 

rt ld 

16 

Tax (soe Instructions), Check ffeny from Form(s: 

1 [Jeet 

2 [J4er2 

8 [1 

8 

3,456. 

spouse, 

47 

Amountfrom Schedule 2,ine8 

. 

. 

. 

LL 

Lc 

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ve 

ce 

ee. 

| 

702. 

Jone 

18 

Addlines16end17 . 

. 

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SE 

ET 

4,158, 

household, 

19 

Child tax credit or credit for other dependents from Schodulo 8812 

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19 

500. 

20008 

os | 20 

Amount 

from Schedule 3, ine 8 

BN 

20 

aboxonine 

| 29 

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500. 

lon 1D120,] 

22 

Subtrect 

line 21 from lino 16. H 

2610 or less, enter -0- BE 

IF 1) 

3,658. 

em 23 

Other taxes, including seif-smployment tax, from Schedule 2, line 2 

23 

50. 

24 

Addines22and23.Thisilsyourtoteltax 

. 

. 

. 

. 

. 

. 

. 

24 

3,708. 

Payments 

25 

Federal Income tax withheld from: 

and 

0 

FOMEIWR Loe 

2 

80. 

Refundable, 

Fomig)1oe9 . 

. 

. 

. 

a 

FT) 

4,424. 

Credits 

¢ 

Other forms (see Jatructions) 

© 

Coe 

ee 

eee 

25¢ 

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. 

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R- 

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we 

ee... 

|abd 

4,504. 

28 

2025 estimated tax payments and amount applied from 2024 retum 

Cee 

ee 

26 

if you made estimated lax payments with your former spouse In 2026, 

anter thelr SSN (ses Instructions): 

Eamed income credit EIC) . 

. 

. 

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Ce 

ee 

ees 

| 27a 

| 

Clergy filing Schedule SE (see netructions) 

Ce 

ee 

ee 

ee 

eee 

© 

if you do not want to claim the EIC, check here 

. 

. 

. 

FSO 

i | 

28 

Additional child tax credit (ACTC) from Schadule 8812. ity you! a not want 

10 claim the ACTC, check here . 

Lo. 

[m] 

28 

American opportuniy credit from Form 8863, ine 5. 

Cee 

ee 

29 

0 

if you have a 

qualtfylng child, 

Trach 

Sen 5G. 

29 

30 

Refundable adoption credit from Form 8839, llne13 

 . 

. 

. 

. 

. 

. 

31 

Amountfrom Schedule 3,llnet6 

. 

. 

. 

. 

31 

32 

Add lines 27a, 28, 29, 30, and 31. These are your total other payments and refundable credits 

32 

33 

Addlines 28d, 26, and 32. These wo your totelpayments 

 . 

. 

. 

. 

. 

. 

. 

33 

4,504. 

Refund 

34 

fing 33 Is more than iine 24, subtract fine 24 from fine 33. This is the amount you pro—ry 

34 

796. 

358 

Amount of line 34 you want refunded to you. If Form 8888 Is attached, check here 

. 

. 

. 

[J 

|a%a 

796. 

Urectdoposit? 

 b 

Routing number 

| 

0 Checking 

[J Savings 

Soa Instructions. 

d 

Account number 

[i 

J 

36 

Amount of line 34 you want applied to your 2028 estimated tex 

. 

. 

I 38 

Amount 

87 

Subtract line 33 from fine 24. This Is the amount you ows. 

You Owe 

For detalls on how to pay, go to www.lrs.gov/Payments or see instructions. 

. 

. 

. 

. 

. 

. 

. 

| a7 

38 

Estimated tex penalty (see Instructions) 

. 

. 

. 

. 

. 

. 

. 

. 

Jas 

Third Party 

Do you want to allow another person to discuss this retum with Tho IRB? Bos Instructions. 

[J Yea. Complete below. 

No 

Designee 

Deslgnee's 

Phone 

Parsonal identification 

name 

no. 

number (PIN) 

| 

] 

] 

I 

I 

] 

Sign 

Undor ponalties of pordury, | doclore that | havo examined this retum end accompanying schedules and statements, end to the best of my knowledge end

Page 14

Michigén Department of Treasury (Rev. 08-25), Page 10f3 

Issued under authortty of Public Act 281 of 1867, as amended. 

2025 MICHIGAN Individual Income Tax Return Mi-1040 

Amended Return 0 

Return is due April 15, 2026, 

Type or print in blue or black ink. 

(include Schodulo AMD) 

1. Fller's First Name 

MJ. | Last Namo 

2, Fllar's Full Social Security No. (Example: 123-465-8789) 

SUSAN 

STINES-VANCOURT 

If 8 Joint Retum, Spouse's First Name 

M.). 

{Last Namo 

TODD 

M | STINES~-VANCOURT 

3. Spouse's Full Socal Security No. (Examplo: 123-45-8789) 

[Home Addross (Number, Stragh, of P.O, Box) 

2424 

8 

8TH 

ST 

Clty of own 

Bale | ZIP/Postal Godo | Country Gode | 4. School District Code (5 digits) 

KALAMAZOO 

MI_149009-9378 

39010 

STATE CAMPAIGN FUND 

6. 

FARMERS, FISHERMEN, OR SEAFARERS 

Check if you (and/or your spouse, if 

a. | Fllar 

filing a joint retum} want $3 of your taxes 

3 Check this box if 2/3 of your Income is from farming, 

to go to this fund. This will not increase 

b. 0 

fishing, or seafaring. 

your tax or reduce your refund. 

Spouse 

7. 

2026 FILING STATUS, Chack one, 

8. 

2028 RESIDENCY STATUS. Check all that apply. 

o.[] singe 

* If you check box "o.* complete 

a. [X] Resteent 

A 

{ine 3 and enter spouse's full nama 

* Hf you chock — hy 

b. 

below: 

x 

. 

“6,” you must 

comple 

[X] Manted fing jointly 

b. {1 Nonresident 

a You must complete 

NR. 

©. IR 

Married filing separately” 

©. [I Part-Year Resident * 

9. 

EXEMPTIONS. NOTE: if someone else can claim you as a dependent, check box 9s, enter 0 on ine 9a and enter $1,560 on line 99 (see Instr), 

a. Number of exemptions (see Instructions) 

9a. 

3x 

$5800 

9a) 

17400]00; 

b. Number 

of individuals who quality for one of the following special exemptions: dest, 

. 

blind, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled 

gh, 

1ix 

$3400 

ob) 

340000 

©. Number of qualified disabled veterans... emesis 

9c. 

x 

$500 

fc 

00 

d. Number of Certificates of Stillbirth from MDHHS (soe Instructions) wees: 

94. 

x 

$5800 

9d, 

00 

8. Claimed as dependent, se line 8 NOTE above .......ccieucesceres JES— preserves 

98, | 

Se. 

00 

f. 

Add lines 9s, 9b, 8c, 0d end Be. Enter here and online 15... srs 

ssbb wsenrinsenens 

Of, 

2080000 

10. 

Adjusted Gross Incoma from your U.S. Form 7040 (28 NBIUCHONS) cusvcvrurssnsses FAVS 

[1X 

65013j00 

11. 

Additions from Schedule 1, line 8. include 8ehadulo 1 ccc Je wee 

HL 

00 

12. 

Total. Add lines 

10 and 11....e. rr ————_———— nr ————— _— 

12 

65013100 

13. 

Subtraction from Schedule 1, N6 31. 1RGILAS SEREBUIB 1 ......evvvccsercsrrmssssimnesscssssssssssmsssss 

misses 

13. 

28580]00 

14. 

Income subject 

to tax, Subtract line 13 from line 12. 

If line 13 Is graster than ine 12, enter *0°.......... 

14. 

3643300

Page 15

2025 M1-1040, Page 3of 3 

Filer’s Full Sodlal Security Number 

PENALTY AND/OR INTEREST RELIEF REQUEST 

35a, I. Check this box if you and/or your spoussa, If filing jointly, are eligible for a federal extension for service in a combat zone. Do not complete 

’ 

tines 3c or 36d, 

’ 

35h. O Check this bax if you and/or your spouse, If filing jointly, have been sftected by a declared disaster zone in Michigan (see instructions). 

Complete lines 35¢ and 36d. 

350. Address affected by the declared disaster. 

35d, Enter tho disaster zone and describ how you were affected by the disaster (sae instructions). 

REFUND OR TAX DUE 

38, 

Itfine 34 Is less than line 25, subtract line 34 from line 25. If applicable, see Instructions. 

Include Interest | 

00} and penalty FE SR YOUOWE 

ss. 

00 

37. 

Overpayment. if line 34 Is greater than line 25, subtract line 25 from line 34... FRE 

A 

957100 

38. 

Credit Forward, Amount 

of line 37 to be credited to your 2026 estimated tax for your 2026 tax retum ... 

38. 

00; 

BIE 

OU 

——— REFUND 

30. 

957100 

DIGITAL ASSET (INCLUDING FINANCIAL INTEREST IN A DIGITAL ASSET) 

40. [| Chack this box if you and/or 

your spouse, if filing Jointly, engaged in any of the following during 2025: 

+ 

Received a digital asset as a reward, award, or payment for property or services 

« 

Sold, exchanged, or otherwise disposed of a digital asset. 

DIRECT DEPOSIT 

0. Routing Transit Number 

, Account Numbar 

©. Typa of Account 

Deposit your refund directly to your financial 

Institution! See instructions 

and complete a, b 

endo. 

1.[X] crecxing 

2. Jsavings 

Deceased Taxpayer. If Fier andlor Spouse died aftr December 31, 2024, enter dates below 

|Praparer Certification, 

/ declere undsr penalty of pedury that 

as (MM-DD-YYYY), ENTER DATE OF DEATH ONLY. 

this refum Is based 

on all information of which 

1 have any knowledge. 

[PFraparers FTN, FEIN of SSN 

Filer 

we 

— 

Spouse 

- 

Taxpayer Certification. {dua under penal of egury thet the Information inte elu | ©1oPereF@ Name {print or type) 

and attachments Is true and complete fo the best of my knowledge, 

Flier's Signature 

Date 

Proparer’s Signature 

SELYF-PREPARED 

Spouse's Signature 

Date 

Preparor's Business Namo, Addross and Tolephone Number 

| By checking this box, 

| authorize Treasury to discuss my return with my preparer, 

Refund, credit, or zero returns. Mall your retum to: 

Michigan Department of Treasury, Lansing, MI 48966

Page 16

WARRANTY DEED 

The Grantor(s) Christopher LaPorte and Jessica LaPorte, husband and wife 

whose address is 2424 S 8th Street, Kalamazoo, MI 49009 

convey(s) and warrant(s) to Susan Marguerite Stines-Vancourt and Todd Michael Stines-Vancourt, wife and husband 

whose address is 3141 Capital Ave. Battle Creek, MI 49015 

the following described premises situated in the Township of Oshtemo, County of Kalamazoo, and State of 

Michigan: 

Commencing at the East one-quarter comer of Section 27, Town 2 South, Range 12 West, Osthemo Township, 

Kalamazoo County, Michigan; thence West along the East and West one-quarter line of said Section a distance 

of 186.00 feet; thence South parallel with the centerline of Eighth Street a distance of 165.00 feet; thence East 

parallel with the first course to the centerline of Eighth Street; thence North along the centerline of Eighth 

Street to the Place of Beginning, EXCEPTING commencing at the East one-quarter corner of Section 27, 

Town 2 South, Range 12 West, Osthemo Township, Kalamazoo County, Michigan; thence West 186.00 feet to 

the Place of Beginning of the exception; thence South 165.00 feet; parallel to the East line of said Section 27, 

(centerline of Eighth Street); thence East 65.00 feet paralle! to the East and West one-quarter line of said 

Section 27; thence North 165.00 feet parallel to the East line of said Section 27 to the East and West one- 

quarter line of said Section 27; thence West 65.00 feet, slong the East and West one-quarter line of said 

Section 27 to the Place of Beginning. 

The grantor grants to the grantee the right to make any/all division(s) under section 108 of the land division 

act, Act No. 288 of the Public Acts of 1967. 

also known as Property Address: 2424 S 8th Street, Kalamazoo, MI 495009 

Sidwell No. 39-05-27-430-060 

. 

"This property may be located within the vicinity of farmland or a farm operation. Generally accepted 

agricultural and management practices which may generate noise, dust, odors, and other associated conditions 

may be used and are protected by the Michigan right 

to farm act.” 

for the sum of $173,000.00

Page 17

te 

Dated this 

1 “day of January, 2021. 

Signed by: 

Christopher LaPorte 

State of Michig, 

County of 

¥ 

bv 

The foregoing instrument was acknowledged before me this 

1% 

day of January, 2021, by Christopher LaPorte 

and Jessica LaPorte, husband and wife. 

"pd 

My commission expires: 

Notary Public 

County, Michigan 

Acting in the County of 

When Recorded Refum To: 

Send Subsequent Tax Bills To: 

Drafted By:

Page 18

OCCUPANCY STATEMENT 

BRINES-) VANCOURT 

* 

Loan #: 0020016233 

Date: 

JANUARY 7, 

2021 

Lender; 

OMNI COMMUNITY CREDYT UNION 

Borrower(s): 

SUSAN MARGUERITR STINES-VANCOURT 

TODD MICHAEL STINES-VANCOURT 

Propetty Address: 

2424 

8 8TH ST, KALAMAZOO, 

MI 49009-3378 

Borrower hereby declares, under penalty of perjury, os follows: 

a 

Owner Occupled 

1We will occupy the subject property 8s mylour principal residence within 60 days after the date of closing as required by, and 

in compliance with, the terms of the Doed of Trust/Montgage/Security Instrument relating to the subject property. UWe will 

continue to occupy the property as mylour principal residence for at least one year after the date of occupancy, unless Lender 

otherwise agrees in writing or extenuating circumstances exist which are beyond my/our control. 

O 

 Occupled as a Second Home 

1/We will occupy the subject property as my/our second residence as required by, and in compliance with, the terms of the 

Deed of TrustMortgage/Secarily Instrument relating to the subject property. 

[w] 

Investment Property - Will Not Occupy 

I/We will not occupy the subject property. 

We are aware of and understand that if at any time it Is determined that the foregoing statement is untnie, I/We will be subject to 

prosecution for fraud under applicable state laws. 

F certify under penalty of Chapter 18, U.S.C. 1010 to 1014 that the statement contained herein is true and correct. 

Tne sues Fora 

Vr On 

- BORROWER 

- 

SAN MANGUERITE 

STINES-VANCOUR? 

~ DATE 

~ Ol 87 28001 

- 

DATE -olforfevzs 

~ BORROWER 

- 

TODD 

MICHAEL 

STINES-VANCOURT 

~ 

State of MECHYGAN 

County of KALAMAZOO 

DD MICHAEL STINES-VANCOURT before 

Subscribed and swom to by SUSAN MARGURRITE STINES-VANCOURE 

me on the 

day of 

12 

Printed NBME eer 

eee 

Notary public, State of Michigan, County of 

My commission Expires — eee 

Acting in the Counly of KALAMAZOO (included when performing a 

notarial act outside of the Notarys county of commission) 

Christopher Curtis 

[NOTARY PUBLIC » STATE OF MICHIGAN 

COUNTY OF KALAMAZOO 

My Commission Expires Februaty 

26, 2025 

Aclingin the County of 

Val

Page 19

n Kalamazoo, MI 49009 

24 

TRET 

9TT2 

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su 1 

oe 

IYI GIILE

Michigan Tax 

PO BOX 3

Lansing, MI

Page 20

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