05._Property_Tax_Appeal_Answer_Form_Valuation_Poverty_Classification.a10652d2-ffbd-4e43-8ccb-928b158ac5d4.pdf
Helda H Slawa, Petitioner V City Of Farmington Hills, Respondent · 26-000122-TT
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR PROPERTY TAX APPEAL ANSWER FORM VALUATION / EXEMPTION / CLASSIFICATION APPEAL MOAHR DOCKET NO. 26-000122 Section 1: Respondent’s Contact Information Filer Type: Local Unit of Government City Of Farmington Hills (OAKLAND) First Name Matt M.I. A. Last Name/Company Name/Unit of Government Dingman Mailing Address (No., Street, P.O. Box or Rural Route) 31555 Eleven Mile Rd City or Town Farmington Hills State Michigan ZIP Code 48336 Telephone Number 248-871-2470 Fax Number 248-871-2471 E-mail Address MTTForms@fhgov.com Section 2: Respondent’s Attorney/Authorized Representative’s Contact Information First Name Michelle M.I. Last Name Modzinski Firm Name (if any) Address (No., Street, P.O. Box or Rural Route) 31555 W Eleven Mile City or Town Farmington Hills State Michigan ZIP Code 48336 Telephone Number 2488712470 Fax Number E-mail Address mttforms@fhgov.com Section 3: Subject Property Information Does the subject property have a Principal Residence Exemption of 50% or more? Yes Are the parcels listed by Petitioner contiguous or adjoining? If not, list which parcels adjoin one another. N/A Section 4: Explain Your Answer to this Appeal Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. Board of Review Decision, Notice of Uncapping, or Assessment Change Notice) with this Small Claims Answer, if applicable. If you do not submit this document, you may be held in default.
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR The Petitioner submitted an application for Property Tax Relief on December 4, 2025. The Board of Review considered the application and all documentation at the December 9, 2025 meeting. The Board of Review decided to deny the request for an exemption due to income. The amount of income for 2024 exceeded the limits of the Property Tax Relief program for 2025. The total income included the annuity which was from an automobile accident, lawsuit judgment. Which is to be considered income as stated in Part 5:income sources of the application. Section 5: Jurisdictional Issues IF PETITIONER IS APPEALING THE TRUE CASH AND/OR TAXABLE VALUES Did Petitioner protest the assessment at a Board of Review (BOR)? If yes, check which BOR Petitioner attended: If no, was the Notice of Assessment properly sent to Petitioner prior to the March BOR? *Submit a copy of the Notice of Assessment with the Answer. If the July or December BOR revised the assessment(s) at issue, did it have authority? If yes, cite the Board’s authority. Was the assessment(s) at issue established as the result of a clerical error or mutual mistake of fact? If yes, explain. Is Petitioner appealing from a State Tax Commission Order? If so, what is the issue date? IF PETITIONER IS APPEALING THE UNCAPPING OF TAXABLE VALUE When was the Notice of Uncapping, if applicable, issued? Under what statutory section was the Taxable Value uncapped? IF PETITIONER IS APPEALING THE DENIAL OF A POVERTY EXEMPTION Did Petitioner request a Poverty Exemption at a BOR? Yes If Yes, check which BOR Petitioner attended: December List the date the BOR denied Petitioner’s Poverty Exemption: December 9, 2025 IF PETITIONER IS APPEALING THE DENIAL OF AN EXEMPTION OTHER THAN POVERTY, PRINCIPAL RESIDENCE, OR QUALIFIED AGRICULTURAL EXEMPTIONS
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR Did Petitioner request the exemption at the BOR? Yes If Yes, check which BOR Petitioner attended: December Tax Year(s) denied: List the date the exemption was denied: What statutory section did Petitioner request the subject property be exempt? IF PETITIONER IS APPEALING THE CLASSIFICATION OF PROPERTY What do you believe the classification should be: Section 6: Valuation Information *Use the multiple parcel form for additional, contiguous parcels. Parcel Identification Number: 22-23-05-304-005 Classification of Property: Real Residential Current Assessed Value (also known as State Equalized Value) as established by the BOR: 252,310 Current Taxable Value as established by the BOR: 165,570 What do you believe is the fair market value (also known as True Cash Value)? 504,620 Multiply the True Cash Value by. 5 and enter here. This is your contention of Assessed Value. 252,310 If you believe the Taxable Value differs from your contention of Assessed Value, enter your contention of Taxable Value. 165,570 Electronic Signature *Typing your name below will serve as your signature Respondent or Attorney/Authorized Representative’s Signature: /s/ Michelle Modzinski