Hagen.pdf
Annissa R Hagen, Petitioner V City Of Grand Rapids, Respondent · 26-000276-TT
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Page 1
RECEIVED
FEB 0 3 2026
MICHIGAN TAX TRIBUNAL
.
STATE OF MICHIGAN
GRETCHEN WHITMER
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MARLON 1. BROWN, DPA
GOVERNOR
LANSING
DIRECTOR
PROPERTY TAX APPEAL PETITION FORM
POVERTY EXEMPTION
Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Disabled Veterans
Exemption, or other exemption disputes.
Pursuant to Tax Tribunal Rule (TTR) 279, you MUST submit a copy of the notice giving rise to the appeal (i.e., Board of
Review Decision or other notice) with this petition.
If you do not submit this document, you may be held in default.
Section 1: Petitioner’s Contact Information
“Aw 1 SSA
RHEE"
Mailing Address
(No, Street, P.O. Box or Rural Route}
1757
HANCHET] AVE.
Nuns
GRAND RAPIDS
I
"#7504
elephone
Number
(0/l~ (35-7832.
Email Address {do not enter unless you want MTT to send all correspondence via email)
Section 2: Petitioner’s Attorney/Authorized Representative’s Contact Information
First Name
Mi.
Last Name
myself
Firm Name (if any)
Mailing Address (No., Street, P.O. Box or Rural Route)
City or Town
State
ZiP Code
Telephone Number
Email Address (do not enter unless you want MTT to send all correspondence via email)
Section 3: Subject Property Information
Parcel Identification Number:
GH) -)3~]F~ [(E2— 022
Property Address (No., Street)
1757 anche Are Now.
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4 £72)Page 2
STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR Section 4: Explain the Reason for this Appeal [am a tw / dower Whols beoo Horotee! ito poverty Seas prove [lit on podest, menial minimal Ly ratoeece 1h whet My Ssh on 4 Corers basic needs 3 §evrg without wn oder Ho Stay [7s my here, ey with tutheadeny shee tnawnanee. affer a flood 3 nonpayment how left no Ay» IL cen porerty wheat trvcome does not meet basce packs. | nee Fax ls (ocired on his boacal Section 5: Jurisdictional Issues Pr Did you request a poverty exemption ata Board of Review (BOR)?,/Z] Yes A No If Yes, check which BOR you attended: O March [I July [Hl] December If No, please explain: Date the BOR decision was issued: Tax year(s) denied: Fee Information There is no fee required for the filing of a poverty exemption appeal. Signature *required Petitioner v Attorney/Authgrized Representative's Signature: Isl ALAA Ay AA? NEY
Page 3
Ms. Annissa Hagen ( 1757 Hanchett Ave’ NW ’ . Grand Rapids, MI 49504-2716 . 30 JAN.2026 PME L Michigan Yor Tribune | 5 1) W. Otte toad, Pc. Box 30232 Lansing, Mi. 28932 Hippteh] dubai Pid