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Blumka.pdf

Lois E Blumka, Petitioner V Township Of Bear Creek, Respondent · 26-000357-TT

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Page 1

RECEIVED 

ems, 

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MAR 0 4 2026 

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Traninfo:4606 

26100270-1 03/02/% 

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100 ts 5.0 

ID: 

LOIS BLUNKA 

MICHIGAN TAX TRIBUNAL 

* 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL PETITION FORM 

PRINCIPAL RESIDENCE EXEMPTION / QUALIFIED AGRICULTURAL EXEMPTION 

Pursuant to Tax Tribunal Rule (TTR) 279, you MUST submit a copy of the notice giving rise to the appeal (l.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 

First Name 

M.L 

Last Name/Company Name 

Lois 

E. 

Blumka 

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

1103 Park Avenue 

City or Town 

State 

ZIP Code 

Petoskey 

= 

=r 

ene NTT 174983303 

E-mall Address (do not enter unless you want MTT to send all correspondence via e-mall) 

loisblumka@gmail.com 

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

First Name 

M.1. 

Last Name 

Firm Name (If any) 

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

City or Town 

State 

ZIP Code 

Telephone Number 

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

Section 3: Subject Pro 

erty Information use the multiple parcel form for additional, contiguous parcels. 

How many parcels are you 

If you are appealing more than one parcel, are they contiguous or adjoining? 

appealing? 

1 

[| Yes 

O No 

*If No, you must file separate appeals for each parcel 

Parcel Identification Number: 

011633201003 

Classification of Property: 

Real 

Personal [J (check one) 

Agricultural [1 

Commercial 

[0 

Industrial 

C1 

Residential 

id 

 Timber-Cutover [J 

Developmental 

[1 

Utility 

[J (check one) 

Property Address (No., Street) 

1103 Park Avenue 

City or Town 

County 

State 

ZIP Code 

Petoskey 

Emmet 

MI 

49770 

Taxing Authorlty (City or Township) 

Bear Creek Township

Page 2

gn, = 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Check which of the following you are appealing 

Principal Residence Exemption 

0 Qualified Agricultura! Exemption 

Section 5: Explain the Reason for this Appeal 

1 am writing to appeal the denial of my PRE for the year 2026. 

1 have attached a copy of the Affidavit 

which I filed in the presence of Dennis Keiser, Supervisor of the Assessors office of Bear Creek 

Township. 1filed it on Jan 13, 2026 while living at the residence in question. 

1 have also attached a copy 

of the PRE denial, stamped, certified and signed by Dennis Keiser on February 2, 2026. 

I called Mr. Keiser after receiving the denial where on item 12 he marked "d. The person claiming the 

exemption, claimed or was granted, a substantially similar exemption in another state.”. 

| had previously 

noted to him that as 

1 am a Michigan primary resident, 

| file taxes in Michigan, whereas my husband is a 

primary resident of New York where he lives, has a business and files taxes. New York state has NO such 

available exemption for personal property tax and neither my husband or myself have ever received 

anything of the kind from New York. 

1 hope you will overturn this unsubstantiated and unfair denial. Thank you in advance for your attention to 

this matter. 

| am available at either ioisblumka@gmail.com or 9174983303 at your convenience to discuss 

this further. 

Section 6: Jurisdictional Issues 

Indicate who denied the exemption under appeal: 

Assessor 

County Treas or Equalization 

Michigan Dept. of Treasury 

Board 2 Review 

Other 

r 

a] 

If you checked “other” above, explain: 

List the date your Prinolpal Residence Exemption or Qualified Agricultural Exemption was denled: 

February 2, 2026 

d: 

Tax year(s) denla: 

2026 

| 

| 

Fee Information 

Alling fee of $25.00 Is required unless the properly has a Principal Residence Exemption of at least 50% for all tax years at lssue on the 

date this petition Is fited. 

Signature *requires 

Pstitloner or Attorney/Authorized Representatlve’s Signature: Lois E. Blumka 

yz Ry 

Isl

Page 3

Michigan Department of Treasury 

2368 (Rev. 07-22) 

Principal Residence Exemption (PRE) Affidavit 

Issued under authority of Public Act 206 of 1893. 

Read the instructions page before completing the form. This form must be filed the assessor for the city or 

township where the property is located. DO NOT SUBMIT THIS FORM IF THE PROPERTY IS NOT YOUR 

PRINCIPAL RESIDENCE AND/OR ANY OF THE DISQUALIFYING FACTORS APPLY AS LISTED IN MCL 211.7 

(CC). For information regarding the PRE, please review the PRE Guidelines at 

www.michigan.govipre. 

Type or Print in blue or black ink. 

Part 1: Property Information 

Type. or print egibly. Usea separate form for each property tax Identification number. 

1. Property tax identification number 

2. Name of Local Unit (Check Township or City) 

3. County 

01-16-33-201-003 

[x] Township [7] Cy 

~~ BEAR CREEK TOWNSHIP 

Emmet 

4. Street Address of Property (Provide a Complete Address) 

1103 PARK AV 

5. Name of Owner (First, Middle, Last) 

6. Owner's Last Four Digits of Social Security Number 

7. Owner's Daytime Telephone gree 

BLUMKA LOIS E. 

XXX-XX- 

217-498-3303 

8. Name of Co-Owner's (First, Middle, Last) 

9. Co-Owner’s Last Four Digits of Social Security Number | 10. Co-Owner’s Daytime Telephone Number 

XXX-XX- 

11. Date you owned and occupied the property inline 1 

... 

The property in line 1above is my: 

11a. 

Principal residence 

Month 

Day. 

Year 

11b. 

[J 

Unoccupied adjoining or contiguous property that is classified residential or timber-cutover. 

12. List the percentage (100% to 1%) of the property that is occupied by the owner claiming the property as a 

principal residence. 

If the property has more than one home on it, it is a multi-dwelling, used for purposes other than a 

principal residence, or partially rented, the owner may claim only a partial exemption. Please consult with your local 

/, 

Zz 

assessor to determine the pecentage of the exemption the owner is allowed to claim in these situations...... 

12. SOD 

Se 

% 

B 

7 

13. Have you or your spouse claimed a principal residence exemption for another Michigan principal residence?............ 13 

] Yes 

No 

no) 

22 25 

14. 

If yes to 13 enter the address and parcel number 

15. 

If yes to 13, have you rescinded that principal residence exemption?. 

16. Do you or your spouse claim a similar exemption, credit or deduction on property located in another state? 

17. 

If yes to 16 enter the address and parcel number 

18. Have you or your spouse filed a tax return as a non-residence of Michigan or a resident of another state....... 

18. 

Tre 

[] 

No 

19. 

If yes to 18, enter state 

Huy Nutspand ah les 

© (Wa) ny, 

[fle [A 

JZ) 

| 

PART 2: CERTIFICATION 

Certification: | certify under penalty of perjury that own and occupy as a principal residence on the date stated in Line 11 and that | have not claimed a substantially similar 

exemption/deduction/credit 

in property in another state, and that the information contained on this document is true and correct to the best of my knowledge. 

FES 

ize 

21. Co-Ofiner's Signature 

Ve 

pate! 

22. Mailing Address, if Different than Property Address above

Page 4

Michigan Department of Treasury 

. 

= 

2742 (Rev. 08-23) 

Local hh 

Notice of Denial of Principal Residence Exemption 

Issued under authority of Public Act 208 of 1893 

With this notice, you are notified that the Principal Residence Exemption on the property identified belo) 

been denied. If you have questions about the denial, you may contact your local government or follow ti 

appeal procedures specified below. For more information regarding the Principal Residence Exemption 

please review the PRE guidelines at www.michigan.gov/pre. 

Type or print in blue or black ink 

"PART 1: PROPERTY INFORMATION 

T Type or print legibly. 

| Usea separate o form for each property number. 

TE 

1. 

Property tax identification number 

2. Name of Local Unit (Check Township or City)| 

3. County 

01-16-33-201-003 

Sunstein Creel | 

Emmet 

4. 

Street address of property (Provide a Complete Address) 

1103 PARK AV 

5. 

Name of Owner (First, Middle, Last) 

6. Owner's Last Four Digits of Social Security Number 

7. 

Owner's Daytime Telephone Number 

BLUMKA LOIS E. 

XXX-XX- 

9/7- U9 3 303 

8. 

Name of Co-Owner (First, Middle, Last) 

9. Co-Owner's Last Four Digits of Social Security Number | 10. Co-Owner's Daytime Telephone Number | 

XXX-XX- 

11. 

Mailing address if different than property address (street or RR#, city, state, Zip code) 

12. Your exemption was denied/adjusted for the following reason: 

O 

a. The owner is not a Michigan resident. 

[J 

b. The property claimed is not the owner's principal residence. 

Oa 

c. The person claiming the exemption is not the owner. 

[i 

d. The person claiming the exemption, claimed or was granted, a substantially similar exemption in another state. 

[] e. Other: 

43. Claim Denied for Calendar Year(s): 

14. 

Percentage Adjusted to: 

(see instructions) 

202 

~~ 

% 

PART 2: ‘CERTIFICATION dhe 

15. Name pf the Local Assesso; (Print or Type) 

nas Pets 

16. 

Signatdrg 

of Local Asses 

17. 

Dale 

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2-2-2, 

18. pe ZZ 

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Kymber of Local Government 

$73 1. Dison 

£2 

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19. 

Email Address 

of Assessor 

S ye Sl J beorcreck: Love, af. co 

Homeownef's Right to Appeal 

on of the Michigan Tax Tribunal within 35

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EP13F October 2023 

OD:121/2x91/2

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