03._Property_Tax_Appeal_Petition_Form_Special_Assessment.2d58c9c9-fb7f-42f7-a2d6-8549e6efcf4e.pdf
Melissa Ibrahim, Petitioner V Township Of Ray, Respondent · 25-002765-TT
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR PROPERTY TAX APPEAL PETITION FORM SPECIAL ASSESSMENT MOAHR DOCKET NO. Section 1: Petitioner’s Contact Information Filer Type: Individual First Name Melissa M.I. Last Name/Company Name Ibrahim Mailing Address (No., Street, P.O. Box or Rural Route) 12950 Azure dr. City or Town Shelby Township State Michigan ZIP Code 38315 Telephone Number 586-208-3981 Fax Number E-mail Address melissaibrahim77@yahoo.com Section 2: Petitioner’s Attorney/Authorized Representative’s Contact Information First Name M.I. Last Name Firm Name (if any) Address (No., Street, P.O. Box or Rural Route) City or Town State Michigan ZIP Code Telephone Number Fax Number E-mail Address Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. a copy of the resolution confirming the special assessment roll) with this Small Claims Petition, 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 Section 3: Subject Property Information How many parcels are you appealing? 1 If you are appealing more than one parcel, are they contiguous or adjoining? No *If no, you must file separate appeals for each non-contiguous or non-adjoining parcel. Property Address (No., Street, City, ST, ZIP) (If multiple, list first property’s address) 16989 29 MILE RD RAY TOWNSHIP Michigan 48096 Parcel Identification Number(s): 16989 29 Mile RD Taxing Authority (City or Township) Township Of Ray (MACOMB) County Section 4: Explain the Reason for this Appeal I am writing to formally request a review and potential adjustment regarding the supplemental property tax charges that have been applied to my property located at [16989 29 MILE RD, RAY, MI 48096]. I recently became aware of these charges and would like to bring to your attention that I have been deployed overseas in support of the U.S. military operations, and I did not receive any prior notice or communication regarding this matter, especially that we were under lock down for more than 15 months due to COVID situation. Section 5: Jurisdictional Issues Did you protest the special assessment at the hearing held to confirm the special assessment roll? No If Yes, what was the date of the hearing held to confirm the special assessment roll? If No, explain: I didn't receive any notefication Fee Information A fee of $100.00 is required for the filing of a Special Assessment Appeal. Electronic Signature *Typing your name below will serve as your signature Petitioner or Attorney/Authorized Representative’s Signature: /s/ Melissa Ibrahim