Siersma.pdf

Beverly A Siersma Petitioner V City Of Farmington Hills Respondent · 26-001291-TT

← View full record

Text extracted from the reviewed PDF, organized by page. OCR and reading order may contain errors; confirm details in the PDF below.

GRETCHEN WHITMER 

GOVERNOR 

STATE OF MICHIGAN 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

LANSING 

RECEIVED 

APR 2 0 2026 

MICHIGAN TAX TRIBUNAL 

MARLON |. BROWN, DPA 

DIRECTOR 

PROPERTY TAX APPEAL PETITION FORM 

POVERTY EXEMPTION 

Exemption, or other exemption disputes. 

Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Disabled Veterans 

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 defauit. 

Section 1: Petitioner’s Contact Information 

First Name 

ML 

Last Name/Company Name 

Beverly 

A 

Siersma 

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

28680 Roxbury St 

City or Town 

State 

ZiP Code 

Farmington Hilis 

Michigan|48331 

Telephone Number (734) 678-8638 

sgtpepper52@sbceglobal.net 

Email Address (do not enter unless you want MTT to send all correspondence via email) 

Section 2: Petitioner’s Attorney/Authorized 

[IER 

Representative’s Contact Information 

First Name 

Last Name 

Firm Name (if any) 

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

City or Town 

State 

2iP 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: 

22-23-08-277-008 

Property Address (No., Street) 

28680 Roxbury St 

City or Town 

County 

State 

2iP Code 

Farmington Hills 

Oakland 

Michigan |48331

& 

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 sending this appeal because both the city and 

| made some mistakes in my income in my appeal to 

them. My social security in 2025 was $2309 monthly. The city listed the rebates 

| received as income -- 

$3796 for the year 2025. That makes the total income $32,504 for 2025. 

(Starting in 2026 

| now have a 

monthly pension income of $232.) Each month 

| take money from my Bank of America account and 

deposit it into the credit union to cover my home and auto insurance payments. 

| did not point that out so 

| 

believe they counted that as income in both accounts. 

| listed my mortgage insurance as $35.40 per 

month but 

| didn’t specify that it is paid to Minnesota Life. The city noted that as life insurance but it's not a| 

policy 

| can turn in for cash. The city also had a question about my payments to Goldman Sachs. Those 

payments were for my GM credit card which has now been taken over by Barclays. On the coldest day of 

2025 my furnace quit working and was red tagged. The ac had not been working for a few years so bath 

were replaced. The loan money was deposited into my account and then the partial payment on my credit 

card was paid off and the company was paid the final balance. 

| can't afford to move and it is getting to 

the point that 

| can’t afford to stay as 

| have no savings and house and car repair costs are mounting up. 

To summarize the only real income 

| have in 2026 

is my social security $2360 per month and now the 

small pension $232 per month totaling $31,104 for the year. 

Section 5: Jurisdictional Issues 

Did you request a poverty exemption ata Board of Review (BOR)? i4 Yes 

(No 

If Yes, check which BOR you attended: 

March 

[ll] July 

[mn] December 

If No, please explain: 

Date the BOR decision was issued: 

April 6, 2026 

Tax year(s) denied: 2026 

Fee Information 

There is no fee required for the filing of a poverty exemption appeal. 

Signature *required 

Petitioner 

gr 

ney/A 

I 

, 

Ist 

/5 fae 

T 

#

Assessors Office 

FARMINGTON 

J 

HILLS 

moon 

Whobigan. 

31555 Eleven Mile Road, Farmington Hills, MI 48336-1165 

April 6, 2026 

SIERSMA, BEVERLY A 

28680 ROXBURY 

Property Addr 

FARMINGTON HILLS, MI 48331-2552 

perty 

Address 

28680 ROXBURY 

Parcel ID Number: 

 22-23-08-277-008 

Petition Number: 

405 H 

The Board of Review has reviewed your appeal for 2026 and has made the following decision: 

2026 Assessed Value 

2026 Taxable Value 

Beginning Value 

210,020 

117,950 

Amount of Change 

0 

0 

Board of Review Value 

210,020 

117,950 

Board of Review Comments: 

POVERTY DENIED - INCOME EXCEEDS GUIDELINES 

If you disagree with the decision of the Board of Review regarding tentative assessed value, you may appeal 

that decision by filing a petition with the Michigan Tax Tribunal at PO Box 30232, Lansing, MI 48909. 

Commercial Real, Industrial Real, Developmental Real, Commercial Personal, Industrial Personal and Utility 

Personal may be appealed by May 31. Agricultural Real, Residential Real, Timber-Cutover Real and 

Tribunal form or a form approved by the Michigan Tax Tribunal, Michigan Tax Tribunal forms are available at 

www.michigan.gov/taxirib. 

If you disagree with the decision of the Board of Review regarding classification, you may appeal by sending 

Form 2167 to the State Tax Commission, PO Box 30471, Lansing, MI 48909, by June 30.

Beverly Siersma 

28680 Roxbury St. 

Favmingtn His, MI 48331 

METROPLEX MI 480 

LUN

vishal 

" 

i. 

Ey 

7 

; 

~~ OC Aa 

9707 

0¢ 

dv 

Pliekiigan 

¥ 

7 

po 

Box 

30232 

r/ 

H4870¢ 

PO 

panieoey 

Li n Sing 

/

← View full record