Polozzolo.pdf
Mario Palazzolo, Petitioner Vs. Michigan Department Of Treasury, Respondent · 24-003647-TT
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GRETCHEN WHITMER GOVERNOR JUL 11 2024 STATE OF MICHIGAN LANSING MICHIGAN TAX TRIBUNAL DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON |. BROWN, DPA DIRECTOR TAX APPEAL PETITION FORM NON-PROPERTY TAX vou may be held in default. Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. notice of action taken by the Michigan Department of Treasury) with this Small Claims Petition, if applicable. If you do not submit this document, Section 1: Petitioner’s Contact Information Telephone Number SPL-919-76 0° First Naine MI. “1 Name/Gompany Name | VY) AQ ty HE loazz > Mailing Address (No., Street, P.O. Box or Rural x 237904 Lakeshore City or Town — State ZIP Code ofp PL. lwp (AYE 9015 » Fax Number E-mail Address (do not enter unless you want MTT to send all correspondence via e-mail) Section 2: Petitioner’s Adlorneyinitistized Representative’s Contact Information First Name Last Name i Firm Name (if any) i Address (No., Street, P.O. Box or Rural Route) City or Town State ZIP Code Fax Number Telephone Number E-mail Address (do not enter unless you want MTT to send all correspondence via email) Section 3: Explain the Reason for this Appeal i Coir. b> Tor Lay hat yoo Seporlec lod sma ost
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STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING Section 4: Assessment Information DIRECTOR Type of Tax Being Assessed: Assess mE: cles VR SA3 = Check all that are being appealed: Pr T= ¢ Z > 2 2 3 Tax Interest Penalty [J Refund of taxes paid in the amount of $ Check what action prompted this appeal: (Check one) Final Assessment (Final Bill for Taxes Due) [] Notice of Intent to Assess (Bill for Taxes Due) [] Letter Denying or Adjusting Refund [J other If “other,” explain: List the Amounts being levied: List the refund sought, if any: Pd Tax y. ! 5 Interest Penalty List your Contentions: Tax Interest Penalty Fee Information A fee of $100.00 is required for the filing of a Non-Property Tax Appeal. Signature *required Petitioner or, Attorney/Authori: i] el tative’s Sj nature: ” L Isl Cah 90)
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Mr. Mario Palazzolo 622 Sunningdale Dr Grosse Pt Wds, Mi 48236 mn (hipn TH Te | wna | 611 WOH Tree 5F Lonsyy tw - 484 = IRR ER En RR TT