Refund-Request-Form-fillable.pdf
Jonathan Travis, Petitioner V City Of Detroit, Respondent · 25-003236-TT
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING MARLON I. BROWN, DPA DIRECTOR MICHIGAN TAX TRIBUNAL · 611 W. OTTAWA ST., LANSING, MI 48933 · 517-335-9760 PO BOX 30232, LANSING, MI 48909 · Other Carriers: 2407 N. GRAND RIVER AVE., LANSING, MI 48906 MICHIGAN TAX TRIBUNAL REFUND REQUEST Payee Name: ______________________________________________________________ Payee Address: ____________________________________________________________ MTT Docket No: _______________________Amount of Refund Requested: $___________ Reason for Refund: ☐Filing/Motion Fee Overpaid ☐Duplicate Docket ☐Other _____________________________________________________________ __________________________________________________________________ Payment Information: Docket Lookup Line # of Payment: ______________________________________________ Date of Payment: ___________________________________________________________ Check #:___________________________________________________________________ Validation/Confirmation #:_____________________________________________________ Requestor’s Signature:_______________________________________________________ __________________________________________________________________________ For Tribunal Use Only: Computation of Refund Amount: Amount paid: $______________________ Granted: ☐ Amount Due: $______________________ Denied: ☐ Amount Refunded: $______________________ Prepared by:____________________________ Date: Authorized by:___________________________ Date: Audited/Entered by:_______________________ Date: Refund Denied by:________________________ Date: ________________ Jonathan Travis 1640 Campau Farms Circle, Detroit, MI 48207 25-003236 125 I no longer want to appeal. I was not able to get in touch with anyone from the Detroit Assessor's Office last week when I called and today was my last day to appeal. However, I was able to speak to someone this morning who explained to me what Current Taxable Value and Corrected Taxable Value means. 25-003236 08/26/2025 25082640450285 /s/Jonathan Travis