26-001107 answer.pdf

John T Deisler Petitioner V Township Of Richfield Respondent · 26-001107-TT

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RECEIVED 

pe 

MAY 2 6 2026 

4 

MICHIGAN TAX TRIBUNAL 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL ANSWER FORM 

POVERTY EXEMPTION 

MTT DOCKET NO, 26001107 

Section 1: Respondent’s Contact Information 

Unit of Government 

Township of Richfield 

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

PO Box 128 

City or Town: 

State: 

ZIP Code: 

Saint Helen 

Mi 

48656 

Telephone meer 

8g 389 4994 

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

assessor@richfieldtownhship.com 

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

First Name: 

M.L: 

Last Name: 

Julie 

A 

Tatro 

Firm Name {if any): 

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

PO Box 128 

City or Town: 

State: 

ZIP Code: 

Saint Helen 

MI 

[48656 

989 389 4994 ext. 102 

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

assessor@richfieldtownship.com 

Telephone Number: 

Section 3: Subject Property Information 

Parcel Identification Number: 

72 010 477 004 0000 

Section 4: Explain Your Answer to this Appeal 

The petitioner failed to provide proof of income as required by the township's exemption

may, 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 5: Jurisdictional Issues 

Did Petitioner request a Poverty Exemption at a Board of Review (BOR)? 

#4 Yes 

[J No 

If yes, check which BOR Petitioner attended: 

March 

0 July 

OO December 

Date the BOR decision was issued: 03/09/2026 

Tax year(s) denied: 2026 

Signature *required 

Respo “0 re epresentative’s 

Signature: 

Isl 

C 

J 

4

05/19/2026 12:34 

PM 

2026 BOARD OF REVIEW DECISION 

FROM 

RICHFIELD TOWNSHIP 

1410 N ST HELEN RD 

POBOX 128 

ST HELEN MI 48656 

NAME AND ADDRESS OF OWNER OR PERSON NAMED ON ASSESSMENT ROLL: 

PROPERTY IDENTIFICATION: (Parcel Code required. Property address 

and legal description optional.) 

72-010-477-004-0000 

9750 JACKSON ST 

DEISLER JOHN T 

9750 JACKSON ST 

SAINT HELEN MI 48656 

LOT 4 BLK 27 LAKEVIEW PARK 

THIS PROPERTY IS CLASSIFIED 

401 

(RESIDENTIAL-IMPROVED) 

Thank you for attending this years March Board of Review. The Board has reviewed the information you supplied and the data necessary 

to compute your assessment and taxable value. 

The Board has completed their review of parcel number 

72-010-477-004-0000 

They have made the following determination based on the information you supplied. 

Board of Review Comments 

DOES NOT MEET INCOME GUIDELINES 

[2026 ORIGINAL ASSESSED VALUE 

67,600 

| 

| 2026 "BOARD OF REVIEW" ASSESSED VALUE 

67,600 

| 

(If the above amounts are the same, no revisions have occured) 

2026 ORIGINAL TAXABLE VALUE 

35,648 

2026 "BOARD OF REVIEW" TAXABLE VALUE 

35,648 

2026 PRINCIPAL RESIDENCE EXEMPTION/QUALIFIED AG 

100.0000 

Please feel free to contact the assessor at the address listed above or call if you have any questions. 

“Effective March 1, 2013, the Tribunal is no longer able to accept Small Claims letter appeals. Rather, you are required to file a petition to 

initiate a new Small Claims appeal. Petition forms are available on this website.” 

http://www.michigan.gov/taxtrib/0,4677,7-187-38254---,00.html

lichigan Department 

of Treasury 

oe (Rev. 12-25) 

: 

. 

Petition to Board of Review 

L-4035 

“This form Is Issued rider the authorly of PA. 206 of 1883, as amended, Filing bs vokntary; Howbver, you may riot appeal to the Michigan Tax Tribunal unless you first protest 

+ 

io the Board of Review, except when the property fs classified as commercial real, kdustriai real, or developmental 

real, You may not appeal pope 

casifcation' 

he Sita 

ax Commission urkest you isl protest fo he Board of Review, 

: 

i 

10 BE COMPLETED BY OWNER OR OWNER'S AGENT 

I 

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Fae Neme (If Other than Owner. Peer a) 

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PRESS ito) 

shar 

en 

“The undersigned protests the assessed ii and/or the tantaiive taxable valus arid/or the property classification afdor t 

“agricultural property exemption of the following described property: 

Propety identified (Parcel code regidred, Prop 

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: 

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: 

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on 

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fora prolest of assessed value, neki assessed value changes 

a 

essocisted with exempt slalus and 

de 

personal property forms. 

i 

Compe this section fora protest 

of Taxable Value. 

ction 211.340 0f the ‘Michigan Complisd Laws. The Board of Review shall not be 

perty’s status as a homeowner's principal residence or qualified Satiuhurelp property 

Chowan 

propor ou Fh yours ssn of 

| Casoaton wid be (check oe ofthe Tong) 

iN 

Clown 

= 

industrial 

[C1 Mimber Cutover 

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er 

“F1 Residantal 

[-] Developmental. 

: 

ifthe 

assessor has denled of changed the porcantage ofthe ‘examption frome 1 mill offocals school opersting tax for 

alifie 

proper. 

1y, the owner 

may appeal thia action to the March Board of Review. THE BOARD OF 

REVIEW HAS NO AUTHORITY TO CONSIDER 

OR ACT UPON 

THE EXEMPTION FROM THE 18 SCHOOL OPE RATING MILLS FOR HOMEOWNER! S PRINCIPAL RESIDENCE Fhoreey 9 

; 

| Paroontquaified ‘agricultural sxeenption graniad by # 

denled) 

:

818, Page 2 

FOR BOARD OF REVIEW USE ONLY 

the Board of Review minutes 

INSTRUCTIONS: Incorporate a copy of this form and the assigned number in 

Petlion Numbae 

i 

. 

0 Assessed Value Canad From C 

"Resor of Vola = Beard or eee-mambar 

leo of board 

Chairperson: 

7a) Yes 0 No 

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Menmber: 

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Initials 

Ek Totals Taxable Valué Changed From 

alFo posi Lara Mi apna. co 

Commercial Real, industrial Real, Devsiopments Real Com 

Member: 

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‘Reason for Board in 

: 

 Poyerk] exemphion dented 

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agin is 5 

doclo of the Board of Review regarding tentative assessed value, you may sppeal that decision by filnp a peti 

the Wikhlgan Tex Tibunal 

cial Parsonal, Industrial Persorisl 

ity Personal Property may 

+ The palition 

mus! be fied 

{Sen attached L-4035A) 

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{POBox 30232, Lansing MI 48909. Commercial 

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& Michigan Tax Tribunal form of a form epproved by the Michigan Tax Tribunal, Michigan 

Tax Trib 

Dispostlon’by Board of Review. "Th Board of Review must lala re reason fo i action below, 

[pected 

[1] Clasalfiation Changed From 

‘appozled 

by May 31, Agricultural Rea), Residential Real, Timber-Culover 

Real and Agricultural 

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Commercial Personal, Industrial Personal 

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n Tax Tribunal 8t 

Property may be 

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ihe Mich) 

Record of Volo — Board or Groe-member comimifes of board 

Chairperson; 

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Membor: 

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initials: 

Reason 

for Board Adon 

0 Exsmption poroent modified from 

sordling Form 2167 to the State Tax C: 

Reeard STV 

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Chairperson: 

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Member: 

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‘Reason for Board Action 

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:

5102 (Rev. 01-19) 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF TREASURY 

RACHAEL EUBANKS 

GOVERNOR 

LANSING 

STATE TREASURER 

Bulletin 17 of 2025 

November 18, 2025 

MCL 211.7u Poverty Exemption 

TO: 

Assessors and Equalization Directors 

FROM: 

Michigan State Tax Commission 

SUBJECT: 

MCL 211.7u Poverty Exemption 

Bulletin 22 of 2023 is rescinded. 

MCL 211.7u provides for a property tax exemption, in whole or part, for the principal 

residence of persons who, by reason of poverty, are unable to contribute to the public 

charges. For purposes of the poverty exemption “principal residence” is how principal 

residence exemption and qualified agricultural property are defined in MCL 211.7dd. The 

exemption does not apply to property owned by a corporation. 

This bulletin includes updates reflecting recent changes to Form 5737, Poverty Exemption 

Application which now incorporates former Form 5739 (Affirmation of Ownership and 

Occupancy to Remain Exempt by Reason of Poverly) and has been retitied Poverty 

Exemption Application and Affirmation, as well as the elimination of the extension for 

poverty applications, which is no longer permitted by statute. 

Local Unit Responsibilities 

MCL 211.7u requires local units to adopt guidelines that specify the income and asset 

levels applicable to the applicant as well as the total household income and assets. 

If the 

local unit maintains a website, the statute requires that the policy, guidelines, and poverty 

application (Form 5737) be made publicly available on the local unit's website. The local 

unit should also make available Form 4988, Poverty Exemption Affidavit which is used by 

applicants who are not required to file federal and state income tax returns. 

Income Test

Page 2 

According to the United States Census Bureau “income” includes, but is not limited to: 

» 

Money, wages, salaries before deductions, regular contributions from persons not 

living in the residence 

¢ 

Net receipts from non-farm or farm self-employment (receipts from a person's own 

business, professional enterprise, or partnership, after business expense 

deductions) 

+ 

Regular payments from social security, railroad retirement, unemployment, worker's 

compensation, veteran's payments, public assistance, supplemental security 

income (SSI) 

Alimony, child support, military family aliotments 

Private and governmental retirement and disability pensions, regular insurance, 

annuity payments 

College or university scholarships, grants, fellowships, assistantships 

Dividends, interest, and net income from rentals, royalties, estates, trusts, gambling 

or fottery winnings 

The Michigan homestead property tax credit cannot be considered as income for 

purposes of the poverty exemption. (Ferrero v Walton Twp, Court of Appeals No. 302221). 

Asset Test 

The local unit guidelines must include an asset test. This asset test must clearly state the 

maximum value of all assets allowable to be eligible for the poverty exemption. This means 

that the guidelines must state a total dollar limit, and the value of all assets cannot exceed 

that amount. 

The purpose of an asset test is to determine the resources available to the applicant: cash, 

fixed assets, or other property that could be converted to cash and used to pay property 

taxes in the year the poverty exemption is filed. The value of the principal residence 

cannot be included in the asset test (Robert Taylor v Sherman Twp, MTT Docket No. 

236230). 

The local unit should require applicants to provide a complete list of all assets when 

applying for a poverty exemption. The State Tax Commission provides the following list of 

assets that may be included in the local unit asset test (this list is not exhaustive and is 

intended as examples of assets that may be considered): 

A second home, land, vehicles 

Recreational vehicles such as campers, motor-homes, boats and ATV's 

Buildings other than the principal residence

Page 3 

+ 

Food or housing received in lieu of wages and the value of food and fuel produced 

and consumed on farms 

+ 

Federal non-cash benefits programs such as Medicare, Medicaid, food stamps and 

school lunches 

The local unit policy may allow an applicant to own possessions in addition to the principal 

residence and qualify for a poverty exemption. Examples may include, but are not limited 

to: 

+ 

Additional vehicles 

More land than a minimum “footprint” for the home 

Equipment or other personal property of value, including recreational vehicles 

(campers, motor homes, boats, ATV's etc.) 

+ 

Bank account(s) (a maximum amount should be specified) 

Full or Partial Poverty Exemptions 

PA 253 of 2020 made changes regarding the granting of full or partial poverty exemptions. 

MCL 211.7u(5) provides that if an applicant meets all eligibility requirements, the Board of 

Review shall grant the poverty exemption, in whole or in part, as follows: 

1. 

A full exemption equal to a 100% reduction in taxable value for the year in which the 

exemption is granted; or 

2. 

A partial exemption equal to a 75% reduction in taxable value for the year in which 

the exemption is granted; or 

3. 

A partial exemption equal to a 50% reduction in taxable value for the year in which 

the exemption is granted; or 

4. 

A partial exemption equal to a 25% reduction in taxable value for the year in which 

the exemption is granted. 

No other method of calculating taxable value may be used except for the percentage 

reductions specifically authorized by statute, or any other percentage reduction approved 

by the State Tax Commission. Local assessing units wishing to use any other percentage 

reduction other than what is stated in MCL 211.7u(5) must obtain approval by filing Form 

5738, Request for Approval of Percentage Reduction in Taxable Value for Poverty 

Exemptions Under MCL 211.7u with the State Tax Commission. 

The State Tax Commission has adopted a Policy Regarding Requests for Percentage 

Reductions in Taxable Value For Poverty Exemptions Under MCL 211.7u which details 

how these requests will be processed. Both the policy and Form 5738 are available on the 

State Tax Commission's website at https://www.michigan.gov/statetaxcommission.

Page 4 

How To Apply for The Poverty Exemption 

To request a poverty exemption, a taxpayer must file: 

1. 

Form 5737 Application and Affirmation for MCL 211.7u Poverty Exemption 

2, 

All required additional documentation (such as federal/state income tax returns) 

Form 5737, along with any additional supporting documentation, must be filed with the 

local assessing unit where the property is located. Do not file the form with the 

Department of Treasury or the State Tax Commission. 

The form may be submitted to the local assessing unit on or after January 1 but before the 

day prior to the last day of the December Board of Review during the year in which the 

exemption is requested. 

Taxpayers should contact the local assessing unit directly to verify submission deadlines to 

ensure that their application is reviewed by a Board of Review during that calendar year. 

In addition to filing Form 5737 and any supporting documentation, a taxpayer must do all 

the following to be eligible for the poverty exemption: 

1. 

Own and occupy the property as a principal residence. 

2. 

Provide federal and state income tax returns for the current or immediately 

preceding year, including any property tax credits, for all persons residing in 

the principal residence (disclosure of the income of an owner who is not 

residing in the principal residence is not required). Federal and state income tax 

returns are not required for a person residing in the principal residence if that 

person was not required to file a federal or state income tax return, Instead, 

Form 4988, Poverty Exemption Affidavit may be filed for all persons residing in 

the residence who were not required to file federal or state income tax returns in 

the current or immediately preceding year. 

3. 

Produce a valid driver license or other form of identification, if requested. 

4. 

Produce a deed, land contract, or other evidence of ownership of the property, 

if 

requested. 

5. 

Meet the federal poverty guidelines published in the prior calendar year in the 

Federal Register by the United States Department of Health and Human 

Services or alternative guidelines adopted by the local assessing unit. The

Page 5 

Board of Review Responsibilities 

The Board of Review shall approve or deny requests for the poverty exemption. The Board 

of Review is required to follow the policy and guidelines adopted by the local assessing 

unit in granting or denying a poverty exemption. The Board of Review may not deviate 

from the adopted policy and guidelines. 

Poverty exemptions for the current year may be heard at the March, July, or December 

Board of Review. However, only one Board of Review decision is permitted for a specific 

calendar year. A subsequent Board of Review may not reconsider a decision already 

made in the same tax year. For example: if an application is denied at the March Board of 

Review, it may not be reheard by the July or December Board of Review in the same 

calendar year. The taxpayer must file an appeal of the March Board of Review decision to 

the Michigan Tax Tribunal. 

PA 191 of 2023 amends both MCL 211.7u and MCL 211.53 to authorize the July and 

December Board of Review to grant a poverty exemption, as a qualified error, for the 

immediately preceding year on the principal residence of a person who establishes 

eligibility as required by Section 7u. This applies if an exemption was not included on the 

assessment roll and was not previously denied. If application is being submitted for a prior- 

year exemption, the guidelines in effect for that prior year must be used. 

As a reminder, a person who files a claim for the poverty exemption is not prohibited from 

also appealing the assessment on the same property in the same year. 

Appeal Rights 

An appeal of the decision made by the March Board of Review must be filed by completing 

and submitting a petition to the Michigan Tax Tribunal no later than July 31 of the same 

year. A decision of the July or December Board of Review may be appealed by filing a 

petition with the Michigan Tax Tribunal within 30 days of the Board of Review's decision. 

Additional information on how to file an appeal is available by contacting the Michigan Tax 

Tribunal or by visiting its website at https://www.michigan.gov/taxtrib.

Richfield Township 

Poverty Exemption Application 

Checklist 

DO NOT SUMBIT YOUR APPLICATION WITHOUT THE 

REQUIRED ATTACHMENTS!!! 

o 

Application must be completed in full, do not leave any blanks, if something does not 

apply please enter N/A, if the amount is zero enter 0. 

If application is not complete and 

all attachments are not included, we will not consider this request. 

o 

If you are not the sole owner of the property for which the exemption 

is being 

requested, all information and documentation must be provided for each owner listed on 

the deed. 

o 

Income verification must include: Federal and State income tax returns for all persons 

residing in household, including any property tax credit returns filed in the current and 

immediately preceding year. (Bank statements 

are not acceptable forms of income 

verification.) 

o 

Include copies of valid driver's license, state ID card and voter’s registration card for 

each person residing in household. (Copies of birth certificates are acceptable for minors 

residing in household.) 

o 

Produce a deed, land contract or other evidence of ownership of the property for which 

an exemption is requested, if requested. 

o 

A complete list of all assets for all persons residing in household including but not 

limited to: A second home, land, vehicles, recreational vehicles (campers, motor homes, 

boats, ATV’s, etc.), buildings other than the residence, equity in the residence above a 

specified amount, jewelry, antiques, artwork, equipment, other personal property of 

value, bank accounts, stocks, money received from the sale of property such as stocks, 

bonds, a house & cars, withdrawals of bank deposits, including borrowed money, tax 

refunds, 

gifts, 

loans, lump-sum inheritances, one-time insurance payments, 

food 

or 

housing received in lieu of wages and the value of food and fuel produced on farms, 

Federal noncash benefits programs such as Medicare, Medicaid, food stamps, school 

lunches. 

The Board of Review has been given exclusive jurisdiction over the granting of property tax 

relief due to financial hardship. The Board of Review for Richfield Township takes this task 

seriously and attempts to provide relief to all deserving residents within the township. 

The

Richfield Township, Roscommon County 

Hardship Exemption Guidelines & 

Eligibility Requirements 

General Overview 

The Richfield Township Board and the Richfield Township Board of Review recognizes the need to 

have available a procedure by which residents in need of assistance under MCL 211.7u can make an 

application for property tax relief. 

The Boards further recognize that, pursuant to statute, as well as 

case law, they must adopt procedures and guidelines to be used as standards when considering 

appeals made based 

on financial hardship. 

The Boards understand these guidelines must be 

adhered to when reviewing hardship appeals and reserves the right to make individual considerations 

within their authority, as they feel necessary. 

Any form submitted that 

is inaccurate or not fully 

completed will result in a denial of the appeal. 

All information in the form is subject to the verification 

from the Board or Assessor's office. 

Basic Filing Requirements 

To be eligible to receive a hardship exemption, either full or partial, 

a person shall do all of the 

following on an annual basis: 

+ 

Be an owner of and occupy as a principal residence, as defined by law, the property for which 

an exemption 

is requested. 

This may include vacant, contiguous property as long as 

it 

is 

considered part of the principal residence. 

eo 

Complete and submit an application for one year Poverty/Hardship Exemption on the form 

designated and supplied by Richfield Township to that office. The application shall be filled out 

in its entirety and submitted with all required attachments to be considered. 

* 

Submit income verification as required. 

This must include completed and signed federal and 

state income tax returns for 

all persons residing 

in the principal residence, including any 

property tax credit returns filed in the current and immediately preceding year. 

If you are not 

required to file income tax returns, you must complete the attached affidavit. 

* 

Produce a valid driver's license or other acceptable form of identification. 

+ 

Produce a deed, land contract, or other evidence of ownership of the property for which an 

exemption is requested. 

+ 

Meet the federal poverty income standards as defined and determined annually by the United 

States Office of Management and Budget and meet the asset level test as determined by the 

Richfield Township Board. 

+ 

File the application for exemption after February 

1, but on or before the second Monday in 

March. 

+ 

Any additional eligibility requirements as determined by the township board.

Federal Poverty Guidelines and Township Asset Level 

The 

following 

are 

the 

federal 

poverty 

income 

standards, 

which 

the 

United 

States 

Office 

of 

Management and Budget recommends that federal departments and agencies use. 

The standards 

are actually compiled by the Bureau of the Census, which refers to them as “poverty thresholds.” 

The following are the federal poverty guidelines for use in setting poverty exemptions guidelines for 

2026 assessments: 

Size of Family Unit 

Poverty Guidelines 

i 

i 

$15,650 

2 

$21,150 

3 

$26,650 

4 

$32,150 

5 

$37,650 

6 

$43,150 

7 

$48,650 

8 

$ 54,150 

For each additional person 

$5,500 

IMPORTANT NOTE: 

PA 390 of 1994 states that the hardship exemption guidelines established by 

the governing body of the local assessing unit SHALL also include an asset level test. 

An asset test 

means the amount of cash, fixed assets or other property that could be used, or converted to cash for 

use in payment of property taxes. 

The asset test should calculate a maximum amount permitted and 

all other assets above that amount should be considered available. 

Assets (except the original homestead, essential household goods and the first $10,000 of the market 

value 

of a motor vehicle) shall not exceed $12,000 

per individual applicant and/or $21000 

per 

household. 

Examples of assets to list are including but not limited to: 

A second home, land, vehicles, recreational vehicles (campers, motor homes, boats, ATV's, 

etc.), Buildings other than the residence, Jewelry, antiques, artwork, equipment, other personal 

property of value, bank accounts, stocks, money received from the sale of property such as 

stocks, bonds, a house & cars, withdrawals of 

banks deposits, including borrowed money, tax 

refunds, gifts, loans, lump-sum inheritances, one-time insurance payments, food or housing 

received in lieu of wages and the value of fool and fuel produced on farms, Federal noncash 

benefits programs such as Medicare, Medicaid, food stamps, school lunches. 

Summary

20F 71 

tzlalec 

“ 

Michigan Department of Treasury 

Lh 

5737 (Rev. 10-25), Page 1 of 4 

% 

Application and Affirmation for MCL 211.7u Poverty ExemptionFe® © 

: 

This form Is Issued under the authorily of the General Property Tax Act, Public Act 206 of 1893, MCL 211.7u. 

MCL 211.7u of the General Property Tax Act, Public Act 206 of 1893, provides a property tax exemption for the principal 

residence of persons who, by reason of poverty, are unable to contribute toward the public charges. This application is 

to be used to apply for the exemption and must be filed with the Board of Review where the property Is located. This 

application may be submitted to the city or township where the property Is located in each year on or after January 1 but 

before the day prior to the last day of the board of review. Poverty Exemptions may be heard by the Board of Review 

during its March, July, and December sessions. 

To be considered complete, this application must: 1) be completed in its entirety, 2) include information regarding all 

members residing within the household, and 3) include all required documentation as listed within the application. Please 

write legibly and attach additional pages as necessary. 

PART 1: PERSONAL INFORMATION — Petitioner must list all required personal information. 

Petitioner's Name So v8 -_. De) Se Or 

859 

389 T22 2 

Age of Petit 

Marital Status Ss 

Age of Spouse 

A / a 

Number of Legal Dependents 

"Eyes of ne 

J JN °% = 

enn | 

b) 

Rn 

ra 5 J5 

PART 2: REAL ESTATE INFORMATION 

List the real estate information related to your principal residence. Be prepared to provide a deed, land contract or other 

evidence of ownership of the property at the Board of Review meeting. 

775 ww NSHP 

Ty ¥ ile 

Property Parcel Identification Number 

Name of Mortgage Company 

OI6 ~ 47 T= &0 

4 ~ 0000 

alan 

Unpald Balance Owed an Principal Residence 

Monthly Payment 

Length of Time at this Residencs 

wa 

Aa 

5+ 

Properdy Desciiption 

S10 Gen Fm BOLL DGS Cones Go| 

PART 3: AFFIRMATION OF OWNERSHIP, OCCUPANCY, AND INCOME STATUS (Chetk all boxes that apply.) 

i own the property in which the exemption is being claimed. 

ETthe property In which the exemption is being claimed is used as my homestead. Homestead is generally defined 

as any dwelling with its land and buildings where a family makes its home. 

PART 4: ADDITIONAL PROPERTY INFORMATION 

, 

List information refated to any other property owned by you or any member residing in the household. 

M, /, 4

3 of 7 

\ 

5737, Page 2 of 4 

PART 5: EMPLOYMENT INFORMATION — List your current employment information. 

Name of Employer 

Rem Red 

Address of Employer 

City 

State 

ZIP Code 

Contact Person 

Employer Telaphone Number 

PART 6: INCOME SOURCES 

BA 

x 7ATE vr 

List all income sources, including but not limited to: salaries(Social Security ents, pensions, IRAs (individual 

retirement accounts), unemployment compensation, disability, government pensions, worker's compensation, 

dividends, claims and judgments from lawsuits, alimony, child support, friend or family contribution, reverse mortgage, 

or any other source of income, for all persons residing at the property. 

Monthly or Annual Income 

Source of Income 

{indicate which) 

\ 

N 

Z 

Sseint Sraug, Ty 

#7, 33.5 move 

PART 7: CHECKING, SAVINGS AND INVESTMENT INFORMATION 

ZAR) i STATEwW an 

List any and all savings owned by all household members, including but not limited to: checking accounts, savings 

accounts, postal savings, credit union shares, certificates of deposit, cash, stocks, bonds, or similar investments, for all 

persons residing at the property. 

sR Cpu tre 

& Bart 

Name of Financial Institution 

Amount 

Current 

Value of 

or Investments 

on Deposit 

[interest Rate 

Name on Account 

Investment 

Clack ing 

f397° 

Ng 

Se 

~~ 

Ap 

Shvivé 

Hoes 

| uy 

PART 8: LIFE INSURANCE — List all policies held by all household members. 

Dg 8&2 / 

5 ¢ 0 fake 

3]. 

Amount of 

Monthly 

Policy Paid in 

Relationship to 

Name of Insured 

Policy 

Payments 

Full 

Name of Beneficiary 

Insured 

NO LIFE psupprie 

Sm 5 own £iefs 

564.18 

fur 

F167 

PART 9: MOTOR VEHICLE INFORMATION

5737, Page dof 4 

4 oF 72-1 

PART 10: HOUSEHOLD OCCUPANTS — List all persons living in the household. 

First and Last Name 

Age 

Relationship 

to Applicant 

$ Contribution to 

Place of Employment | Family income 

Soe ~~ 

“0 

ferre £0 

PART 11: PERSONAL DEBT — List all personal debt for afl household members. 

Date 

Creditor 

Purpose of Debt 

of Debt 

|Original Balance Monthly Payment] 

Balance Owed 

“7 

CO wr TENS 

) 

70 

” 

4 

Hon 20, 

10S 

wernls 

dunno 

700% 

ga) fr /12% 

oot 

A 

RANE TEPC" 

od 

Pop 2ott7 

AXES 

SLL 

Z1344 

7 1/2 

# A ol Repan 

Fabs 

Foo 

“Tehgo©” 

PART 12: MONTHLY EXPENSE INFORMATION 

Brles 

Sapper ian 

The amount of monthly expenses related to the principal residence for each category must be listed. Indicate N/A as 

necessary. 

QoS of 

, 

) 

SECA A 

"00 ES wl 

200% fpr 

TT NA 

P00 fri 

el 59, 7 art 

Food 300°) Der] 

Clothing 

IY / 4 

Heafih Insurance A / A

gir 7( 

NOTICE: Per MCL 211.7u(2)(b), federal and state income tax returns for all persons residing in the principal residence, 

including any property tax credit returns, filed in the immediately preceding year or in the current year must be submitted 

with this application. Federal and state income tax returns are not required for a person residing in the principal residence 

if that person was not required to file a federal or state income tax return in the tax year in which the exemption under this 

section is claimed or in the Immediately preceding tax year. 

5737, Page 4 of 4 

PART 13: POLICY AND GUIDELINES ACKNOWLEDGMENT 

The governing body of the focal assessing unit shall determine and make available to the public the policy and 

guidelines used for the granting of exemptions under MCL 211.7u. In order to be eligible for the exemption, the 

applicant must meet the federal poverty guidelines published in the prior calendar year in the Federal Register by the 

1 

United States Department of Health and Human ‘Services under its authority to revise the poverty line under 42 USC 

$902, or alternative guidelines adopted by the governing body of the local assessing unit so long as the alternative 

guidelines do not provide income eligibility requirements less than the federal guidelines. The policy and guidelines 

must include, but are not limited to, the specific income and asset levels of the claimant and total household income 

and assets. The combined assets of all persons must not exceed the limits set forth in the guidelines adopted by the 

local assessing unit. 

0 The applicant has reviewed the applicable policy and guidelines adopted by the city or township, including the 

specific income and asset levels of the claimant and total household income and assets, 

PART 14: LEGAL DESIGNEE INFORMATION (Complete fapplicable) = +. 

- 

Legat Designee Name 

Daytime Telephone Number 

Mailing Address 

Clty 

State 

ZIP Code 

PART 15: CERTIFICATION 

| hereby certify to the best of my knowledge that the information provided in this form is complete, accurate and 

| am 

eligible for the exemption from property taxes pursuant to Michigan Compiled Law, Section 211.7u. 

PT th Dey soo EN 

2] 2 7lz¢ 

This application shall be filed after January 1, but before the day prior to the last day of the local unit's December 

Board of Review. 

Decision of the March Board of Review may be appealed by petition to the Michigan Tax Tribunal by July 31 of 

the current year. A July or December Board of Review decision may be appealed to the Michigan Tax Tribunal by 

petition within 30 days of decision. A copy of the Board of Review decision must be included with the petition. 

Michigan Tax Tribunal 

PO Box 30232 

Lansing MI 48909 

Phone: 517-335-8760 

Email: taxtrib@michigan.gov

Lor 2 

Michigan Department of Treasury 

4988 (05-12) 

Poverty Exemption Affidavit 

This form Is issued under authority of Public Act 206 of 1893; MCL 211.7u, 

INSTRUCTIONS: When completed, this document must accompany a taxpayer's Application for Poverty Exemption filed 

with the supervisor or the board of review of the local unit where the property is located. MCL. 211.7u provides for a whole 

or partial property tax exemption on the principal residence of an owner of the property by reason of poverty and the 

inability to contribute toward the public charges. MCL 211.7u(2)(b) requires proof of eligibility for the exemption be provided 

to the board of review by supplying copies of federal and state income tax returns for all persons residing In the principal 

residence, including property tax credit returns, or by filing an affidavit for all persons residing in the residence who were not 

required to file federal or state income tax returns for the current or preceding tax year. 

Vv Dersler 

1, 

Jo “4 

, swear and affirm by my signature below that 

| 

reside in the principal residence that is the subject of this Application for Poverty Exemption and that 

for the current tax year and the preceding tax year, 

| was not required to file a federal or state income 

fax return. 

F150 pe Sow 

ON 

Sr. rrenw 

HM 

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community creck 

EEE 

MERCANTILE BANK 

2/27/2026 10:46:33 AM 

pemand Deposit | 

0HN 

7 DEISLER 

Relationship 

Date of 

Phone Number 

Tax Identification 

’ 

Birth 

JOHN T DEISLER 

[fr owner/Signer 

* 

HR HAA K 

SSN skkk 

pk okoksk 

3 9750 JACKSON ST 

SAINT HELEN MI 48656 

Additional Relationships 

’ 

/ 

} i) 

Beneficiary Information Available 

p 

[ 

Tax Name: JOHN T DEISLER 

C 

Presentments 

No Presentments for Account 

Current & Previous Cycle 

Description 

Debits 

Credits 

Date 

Balance 

Balance Forward: 

Dec 31, 2025 

$33.13 

SSA 

C SEC 

) 

$1,363.00 

Jan 02, 2026 

$1,396.13 

UNITY 

$100.00 

_ 

Jan 05, 2026 

$1,296.13 

/04/26 at 

WITHDRAWAL 

$600.00 

Jan 06, 2026 

$696.13 

Check 

$123.82 

Jan 07, 2026 

$572.31 

$25.10 

Jan 08, 2026 

$547.21 

$68.92 

Jan 08, 2026 

$478.29 

MI 92723901 386305 

$23.55 

Jan 12, 2026 

$414.26 

$214.91 

Jan 12, 2026 

$199.35 

Crier 

Hanser 

110 

CTIMUNITY 

$3.00 

Jan 13, 2026 

$202.35 

I 

Hee 

a Bh oe 

PE 

Che 

$136.35 

Jan 13, 2026 

$216.00 

XX8045 CHK PURCH PIN MEIJER STORE 

$38.02 

Jan 26, 2026 

$177.98 

#32 WEST BRANCH MI 99999999 

209191 

*¥kxStatement Produced 

x 

Jan 30, 2026 

$177.98

COMMUNITY CHECKIN 

Description 

16219691 019691 

XX8045 CHK PURCH SIG MURPHY USA 

7844 WEST BRANCH MI 47136401 

i 

[ 

HELEN RD ST HELEN MI MI001671 

006191 

Balance This Statement: 

MERCANTILE BANK 

Debits 

$111.22 

$167.92 

$28.74 

$38.74 

$179.16 

$25.94 

$20.00 

Credits 

Date 

Feb 06, 2026 

Feb 06, 2026 

Feb 09, 2026 

Feb 09, 2026 

Feb 11, 2026 

Feb 17, 2026 

Feb 20, 2026 

Feb 26, 2026 

100F %f 

2/27/2026 10:46:33 AM 

Balance 

$498.88 

$330.96 

$302.22 

$263.48 

$84.32 

$58.38 

$38.38 

$38.38

wv COMMUNITY SAVING 

MERCANTILE BANK 

2/27/2026 10:47:29 AM 

Savings 

JOHN T DEISLER 

Relationship 

Date of 

Phone Number 

Tax Identification 

Birth 

JOHN T DEISLER 

1:4 Owner/Signer 

#¥% kk skkkk 

HRAAKKAERN 

SSN HEK 

Kk 

kkk 

% 9750 JACKSON ST 

SAINT HELEN MI 48656 

Additional Relationships 

Jy, 4° 

Beneficiary Information Available 

> KU J 

Tax Name: JOHN T DEISLER 

Presentments 

No Presentments for Account 

Current & Previous Cycle 

Description 

Debits 

Credits 

Date 

Balance 

Balance Forward: 

. 

: 

Dec 31, 2025 

$58.65 

$100.00 

Jan 05, 2026 

$158.65 

+ $3.00 

Jan 13, 2026 

$155.65 

*¥*%Gtatement Produced 

** 

Jan 30, 2026 

$5.65 

Inter 

$100.00 

Feb 04, 2026 

$105.65 

CHE 

7:01 

XX8045 SAV WITHDRAWAL 2087 S M- 

$100.00 

Feb 13, 2026 

$5.65 

76 WEST BRANCH MI MIO00369 008004 

Balance This Statement: 

Feb 26, 2026 

$5.65

BE 

LLEUHEITHN] 

1-MGMC-TRUN-03 20260202 

001-002-000517 000168011-1 

. 

° 

Statement Date: 01/30/2026 

Mercantile Bank 

Account Number 

5610 Byron Center Ave, SW 

Wyoming, Mi 49519 0300 

(800) 453-8700 | www.merchank.com 

Return Service Requested 

9 

0 4 

7) 

tylenol 

peas uaa begggd 0 gpg 0p 

ot 

000517 

1AV 0.503 

2 

I 

JOHN T DEISLER 

9750 JACKSON ST 

SAINT HELEN WI 48656-8229 

Effective 02/01/2026, the Senlor Community Checking account 

will convert to the Community Checking account. 

If you have 

questions, please visit your local branch, chat with us or call 

1-800-453-8700. 

Updates to our Privacy Notice have been made that do not require 

redisclosure. To obtain a copy visit our website. 

18 

6 

i 

COMMUNITY CHECKING ACCOUNT XXX 

$177.98 

COMMUNITY SAVINGS ACCOUNT XXXX; 

$5.65 

CoN] 

Statement Dates 

3 

Credits 

$1,516.00 

Beginning Balance 

$33.13 

10 

Debits 

$1,371.15 

Ending Balance 

$177.98 

Minimum Balance 

$177.98 

Average Available Balance 

$415.83 

Average Balance 

$415.83 

TOTAL DAYS IN STATEMENT PERIOD 01/01/26 THROUGH 01/30/26: 30 

Date 

Description 

Amount 

01/02 

SSA TREAS 310 XXSOC SEC ww 

1,363.00 

01/13 

Internet Transfer from COMM 

wo 1/13/26 at 0:18 CT 

’ 

3.00

, 

S) 

The Home Depot 

2s 7 Consumer Credit Card 

Customer Service: 

homedepot.comvmycard 

Account Inquiries: 

otf 

o 

Account Statement 

Send Notice of Billing Errors and Customer Service Inquiries to: 

HOME DEPOT CREDIT SERVICES 

PO Box 790328, St, Louls, MO 63179 

Vel 

1-800-677-0232 (TTY: 711) 

Text to Pay: 71469 

Account number “S. 

(Summary of Account Activity 

) (payment Information 

) 

Previous Balance 

$135.54 

New Balance 

$88.07 

Payments 

-$50.00 

| | Minimum Payment Due 

$29.00 

Other Credits 

-$0.00 

| | Payment Due Date 

March 14, 2026 

Purchases/Other Debits 

+80,00 

Late Payment Warning: If we do not racelve your minimum payment by the 

Fees Charged 

+$0.00 

date listed above, you may have to pay a late fee up to $41. 

Interest Charged 

+§2.53 | | Minimum Payment Warning: 

If you make only the minimum payment each 

Naw Balance 

$88.07 

period, you will pay more In Interest and it will take you longer to pay off your 

balance. For example: 

\Dast Due Amount 

$0.90 J | Tryoumake no adeiiional 

| Yeu wil pay off the 

And you wil 

(Credit Limit 

$5,001.00 ) 

charges using this card 

|-palance shown on this 

and up paying an 

Avallable Credit 

$4,012.00 

and each month you pay... 

| 

statementin about... 

| estimated total of... 

Amount Over Credit Limit 

-$0.00 

Only the minimum payment 

4 months 

$93 

Statement Closing Date 

02/15/2026 

i pe like Information about cred counseling services, call 1-877-337-8187 

Next Statement Closing Date 

03/18/2026 

\Days in Billing Cycle 

28 

J 

\_ 

J 

Ww 

Marketing offers included In this statement are Intended for residents of the United States and its Territories. 

8 

TRANSACTIONS 

a 

Trans Date 

Description 

Amount 

= 

02/01 

PAYMENT - THANK YOU 

$ 

50.00: 

FEES 

TOTAL FEES FOR THIS PERIOD 

H 

0,00 

INTEREST CHARGED 

02/15 

INTEREST CHARGE 

ON PURCHASES 

$ 

2,53 

TOTAL INTEREST FOR THIS PERIOD 

$ 

2.53 

FROM FURNITURE TO FINISHIN 

Every Room. Every Style. Every Budget. 

Shop homedepot.com/decor 

G TOUGHES 

PLEASE SEE IMPORTANT INFORMATION ON PAGE 2. 

otach and 

Page 1 of 4 

Account ntrmber ending en 

7A 

A 

P.O. Box 790393 

St. Lous, MO 63176 

Jb 

I] 

Payment Due Date 

March 14, 2026 

New Balance 

$88.07 

For proper credit, please write the last four

EHITTTHUN] 

\ 

| 

4 7 

account number: Jj 

HK PURCH PIN MEIJER STORE #32 WEST BRANCH Mi 99999999 927544 

01/12 

HK PURCH SIG WAL-MART #5159 WEST BRANCH Mi 51590002 

1282 

01/26 

XX8045 CHK PURCH PIN MEIJER STORE #32 WEST BRANCH MI 99599999 209191 

38.02 

01/12 

CHECK # 1017 - CHASE CREDIT CRD CHECK PYMT 000000000001017 

214.91 

Date 

Check # 

Amount 

Date 

Check # 

Amount 

Date 

Check # 

Amount 

01/13 

1018 

$136.35 

| 

01/07 

1019 

$123.82 

(*) INDICATES A GAP IN CHECK NUMBER SEQUENCE 

{-MGMC-TRUN-03 20260202 

002-002-000517 000169011-1 

Total For This Period 

Total Year-to-Date| 

Previous Year Total 

Total Overdraft Fees: 

$.00 

$.00 

$.00 

Total Returned Item Fees 

$.00 

$.00 

$.00 

Date 

01/02 

01/05 

01/06 

Balance 

572.31 

478.29 

01/09 

437.81 

Date 

01/12 

01/13 

01/26 

Balance 

199.35 

216.00 

177.98 

Updates to our Privacy Notice have been made that do not require 

redisclosure. To obtain a copy visit our website. 

Statement Dates 

01/01/26 thru 01/30/26 

1 

Credits 

$100.00 

Beginning Balance 

$58.65 

2 

Debits 

$153.00 

Ending Balance 

$5.65 

Interest 

$.00 

Average Available Balance 

$53.51 

TOTAL DAYS IN STATEMENT PERIOD 01/01/26 THROUGH 01/30/26: 30 

01/05/26 

Internet Transfer from COMMUNITY CHECK XXXX; 

1/04/26 at 7:01 CT 

100.00 

158.65 

Date 

Description 

01/13/26 

Internet Transfer to COMMUNITY CHECKI oot 

| 1/13/26 at 0:18 CT

Michigan Department of Treasury, 

1019 (Rev. 10-25) 

THIS IS NOT A TAX BILL Rec 2(;c(20 

Lasoo 

Notice of Assessment, Taxable Valuation, and Property Classification 

This form Is issued under the authority of Public Acl 206 of 1893, Sec. 211.24c and Sec.21 1.34c, as amanded. This is a model assessmenl notice to be used by the local assessor. 

FROM RICHFIELD TOWNSHIP 

PARCEL IDENTIFICATION 

2173 

4. STATE EQUALIZED VALUE (SEV): 

1410 N ST HELEN 

RD 

PARCEL NUMBER: 

72-010-477-004-0000 

. 

PO BOX 128 

PROPERTY ADDRESS: 

ST HELEN MI 48656 

9750 JACKSON ST 

SAINT HELEN, MI 48656 

t 

. 

SCHOOL DISTRICT CODE: 

72010. 

R'S N 

: 

OWNER'S 

NAME & ADDRESS/PERSON NAMED ON ASSESSMENT ROLL: 

EXEMPTIONS 

in 

% Exempt As "Homeowners Principal Residence™; 

100.00% 

wk*EA4*SAAUTON5-DIGIT 48627 

T10 

PL 

$34 

% Exempt As "Qualified Agricultural Property": 

00% 

a 

ro st 

% Exempt As "MBT Industrial Personal"; 

00% 

pall pl iil afd thefts] 

% Exempt 

As "MBT Commerclal Personal”: 

A 

00% 

rh 

berg 

tpi 

fleg ee 

[8 TRL 

{ATL 

UU 

Exempt 

As "Disabled Veteran or Surviving 

. 

Spouse”; 

[OJ Yes 

[X] 

No 

Exempt As "Qualified Forest Property™; 

[ Yes 

{X] 

No 

Exempt As "Development Property": 

[JYes 

[X] 

No 

LEGAL DESCRIPTION: 

"LOT 4'BLK 27 LAKEVIEW PARK 

Tt 

TTT 

’ 

TTT aS 

oT 

i 

12 0 2 ( 

ACCORDING TO MCL 211.34c THIS PROPERTY IS CLASSIFIED AS: 

401 

Residential 

PRIOR YEAR'S CLASSIFICATION IF DIFFERENT: 

401 

Residential 

The change in taxable value will increase/decrease your tax bill 

PRIOR AMOUNT 

CURRENT 

CHANGE FROM 

for the 2026 

year by approximately: 

$26 

YEAR: 

2025 

TENTATIVE mou 

FEA 

’ 

1. TAXABLE VALUE! 

i 

34.711 

35,648 

937 

2. ASSESSED VALUE: 

: 

63,200 

67,600 

4 

3. TENTATIVE EQUALIZATION FACTOR: 

1.000 

5. WAS THERE A TRANSFER OF OWNERSHIP IN 2025 THAT RESULTED IN A TAXABLE VALUE UNCAPPING? [Jves 

[x] No 

Market Adjustment 

6. Assessor Assessed Value Change Reason(s): 

7. Taxable Value Change Other Than Rate of Inflation Increase: 

(If Blank, 

Rate 

of Inflation Change Only) 

The 2026 Inflation Rate Muitiplier is: 1.027 

Questions regarding the Notice of Assessment, Taxable Valuation, and Property Classification may be directed to the Following: 

Name: 

JULIE 

A TATRO 

Telephone Number: 

{969) 389-4994 

Email Address: 

6 

ASSESSOR@RICHFIELOTOWNSHIP.COM 

March Board of Review Appeal Information. The Board of Review will meet at the following dates and times:

Page 

1 

17560 (01-14) 

Auto- Owners 

lssued 

10-01-2025 

Policyholder since 2022 

INSURANCE COMPANY 

HOMEOWNERS POLICY DECLARATIONS 

6101 ANACAPRI BLVD. LANSING, MI 48917-3999 

AGENCY 

DIEBOLD INSURANCE AGENCY 

Renewal Effective 

11-07-2025 

(989) 345-0200 

POLICY NUMBER 

sureo 

JOHN T DEISLER 

Company Use 

Company 

POLICY TERM 

AopRess 9750 JACKSON ST 

Bill 

12:01 a.m. 

12:01 a.m. 

to 

SAINT HELEN Mi 48656-8229 

11-07-2025 

11-07-2026 

In consideration of payment of the premium shown below, this policy is renewed, Please attach this Declarations and attachments to your policy. if you 

have any questions, please consult with your agent, 

N 

TERM 

TOTAL POLICY PREMIUM 

) 

$706.06 

PAID IN FULL DISCOUNT APPLIED 

Discount Applies For Affiliation With: MATURE HOMEOWNERS GROUP 

Please notify your agent at (989) 345-0200 if you are no longer 

a member of this group. 

LOCATION DESCRIPTION 

Homeowners Policy Form 3 

9750 Jackson St 

Saint Helen, Ml 48656-8229 

Frame Construction Built in 2005 

Asphalt Roof Updated in 2016 

a 

P) Fo { 

Protection Class 7 

PROPERTY AND LIABILITY COVERAGES 

LIMITS 

A Dwelling 

$230,000 

B Other Structures 

23,000 

C Personal Property 

161,000 

D Additional Living Expense and Loss of Rents 

46,000 

E Personal Liability (each occurrence) 

500,000 

F Medical Payments (each person) 

5,000 

Section 

| Deductible 

$1,000 - All Perit Deductible 

COVERAGES THAT APPLY 

Personal Property Replacement Cost 

Homeowners Plus 

Mortgage Extra Expense Coverage ($1,000 Deductible) 

$250/mo 

Refrigerated Products Coverage ($250 Deductible) 

750 

Glass Breakage ($250 Deductible) 

Domestic Appliance Seepage or Leakage 

50,000 

($1,000 Deductible) 

Tree Debris Removal 

1,500 

Water Backup Of Sewers Or Drains ($1,000 Deductible) 

5,000 

Guaranteed Home Replacement Cost 

Special Personal Property Coverage 

Credit and Fund Transfer Card Coverage 

1,000 

Ordinance or Law Coverage 

23,000 

Accidental Death Benefit 

20,000

Page 

2 

17560 (01-14) 

AUTO-OWNERS INS. CO. 

Issued 

10-01-2025 

acenNcy 

 DIEBOLD INSURANCE AGENCY 

Company 

POLICY NUMBER 

I 

Bil 

Company Use 

INSURED 

JOHN T DEISLER 

Term 

11-07-2025 

to 

11-07-2026 

TOTAL LOCATION PREMIUM 

$706.06 

Forms That Apply To This Location: 

17903 (06-21) 

57860 (06-21) 

17046 (02-23) 

67098 (09-22) 

57984 (01-21) 

67023 (10-21) 

67107 (12-22) 

17618 (06-21) 

17679 (06-21) 

17662 (12-21) 

57479 (06-21) 

17908 (06-21) 

Secured Interested Parties: None 

TERM 

TOTAL POLICY PREMIUM 

$706.06 

PAID IN FULL DISCOUNT APPLIED 

Insurance Score | NG 

Forms That Apply To All Locations: 

17363 (10-21) 

67137 (12-23) 

67177 (01-25) 

17780 (06-21) 

5"

Auto-Owners 

Pe 

*loar0zs 

Issued 

Policyholder since 2024 

INSURANCE COMPANY 

AUTOMOBILE POLICY DECLARATIONS 

6101 ANACAPR! BLVD., LANSING, MI 48917-3999 

AGENCY 

DIEBOLD INSURANCE AGENCY 

Renewal Effective 

11-07-2025 

(989) 345-0200 

POLICY NUMBER 

wsureno 

JOHN DEISLER 

Company Use 

Company 

POLICY TERM 

ADDRESS 9750 JACKSON ST 

Bill 

12:01 a.m. 

12:01 a.m. 

0 

SAINT HELEN Mi 48656-8229 

11-07-2025 

11-07-2026 

In consideration of payment of the premium shown below, this policy is renewed. Please attach this Declarations and attachments to your policy. 

If you 

have any questions, please consult with your agent, 

Discount applies for affiliation with: MATURE DRIVER SINGLE VEHICLE GROUP, 

Please notify your agent at (989) 345-0200 if you are no longer a member of this group. 

TERM 

TOTAL POLICY PREMIUM 

$564.78 

PAID IN FULL DISCOUNT APPLIES 

DESCRIPTION OF ITEM INSURED 

Personal Injury Protection Coverages and Limit Selections 

COVERAGES 

LIMITS 

Allowable Expenses (Medical) 

Unlimited person Primary 

7 7, \ 

Work Loss 

$7,201* person Excess 

( 

v 

0 

Replacement Services 

$ 20/day person 

: 

Survivor's Benefits 

$ 7,201* person 

Work Loss Exclusion applies to JOHN DE{SLER. 

*For any 30 day period and the limit is subject to any changes established under the Michigan Insurance Code for accident occurring 

on or after the date of change. 

Accidental Death Benefit Endorsement 

COVERAGES 

LIMITS 

PREMIUM 

Accidental Death Benefit 

$20,000 per eligible person 

included 

TOTAL 

Included 

150

Page 

2 

99982 (1-14) 

AUTO-OWNERS INS. CO. 

Issued 

10-01-2025 

acency 

 DIEBOLD INSURANCE AGENCY 

Company 

POLICY NUMBER 

8ill 

Company Use 

INSURED JOHN DEISLER 

Term 

11-07-2025 

to 

11-07-2026 

DESCRIPTION OF ITEM INSURED 

v 

COVERAGES 

LIMITS 

PREMIUM 

Residual Bodily Injury 

$ 250,000 person/$ 500,000 occurrence 

$201.42 

Residual Property Damage 

$ 100,000 occurrence 

14.62 

Residual Uninsured Motorist 

$ 250,000 person/$ 500,000 occurrence 

10.91 

Underinsured Motorist 

$ 250,000 person/$ 500,000 occurrence 

36.76 

Property Protection 

$1Million occurrence 

24.73 

Personal Injury Protection 

See coverage and limit selections 

Allowable Expenses (Medical) 

140.25 

Work Loss 

included 

Replacement Services 

2.34 

Survivor's Benefits 

2.93 

MCCA Unlimited ** 

59.00 

MCCA Deficit ** 

23.00 

MATPA #* 

1.00 

MACP ** 

47.82 

TOTAL 

$564.78 

Interested Parties: None 

Additional Forms For This ftem: 

99552 (08-20) 

19942 (11-21) 

99457 (07-20) 

79275 (06-92)Z 

99301 

(11-21) 

99305 (11-21) 

99006 (07-21) 

ITEM DETAILS: Automobile driven for pleasure/commute 0-14 use by a 71 year old operator. 

Cost Symbol: 13-4B-13-4B-66. 

Household Composition Rating applies. 

p 

5% ABS Discount applies. 

. 

7 

Premier Credit applies. 

- 

. ( 

30% Air Bag Discount applies 

\ 

0 

Garaging Address: 9750 JACKSON ST, SAINT HELEN, M! 48656-8229 

Rate Effective Date 09-08-2025 

150 

TERM 

TOTAL POLICY PREMIUM 

$564.78 

PAID IN FULL DISCOUNT APPLIES 

The Pald In Full Discount does not apply to fixed fees or statutory charges. 

Forms That Apply To All Items: 

79001 

(03-99)2 

79701 

(02-24) 

99501 

(11-21) 

69405 (01-16) 

59325 (12-19) 

69271 

(05-14)Z 

89058 (04-07)Z 

89281 

(04-10)Z 

99803 (07-16)2 

69396 (09-15)Z 

99633 (08-22) 

69716 (09-19) 

69630 (05-18) 

Policy Rate Code 0001 

Premium assumes no youthful operator(s). 

Property Discount. 

Loss History Rating 1A applies; 0/1

Page 

3 

99982 (1-14) 

AUTO-OWNERS INS. CO. 

Issued 

10-01-2025 

AGENCY 

Company 

POLICY NUMBER 

Bil} 

Company Use 

INSURED 

JOHN DEISLER 

Term 

11-07-2025 

to 

11-07-2026 

DESCRIPTION OF ITEM INSURED 

Driver List 

Listed below are the persons currently listed on a vehicle insured on this policy. 

DEISLER, JOHN 

Age 71 

WORK LOSS EXCLUSION APPLIES 

*Michigan Catastrophic Claims Association (MCCA) provides coverage for Personal Injury Protection for an automobile accident victim when costs exceed 

the threshold per MCL 500.3104(2) and they have chosen unlimited Allowable Expenses (Medical), There are two types of the MCCA charges. MCCA 

Deficit will apply for all vehicles. MCCA Unlimited will apply for ail vehicles to which unlimited Personal Injury Protection Allowable Expenses (Medical) 

could be provided. Michigan Automobile Theft Prevention Authority (MATPA) oversees automobile theft prevention programs per MCL 500.6107. The 

Michigan Assigned Claims Plan (MACP) provides coverage for automobile accident victims who are entitled to claim Personal Injury Protection benefits but 

do not have applicable personal protection insurance per MCL 500.3172. MCCA, MATPA and MACP are programs established by the State of Michigan.

I 

DTE 

CHECK TO ENROLL IN AUTOPAY 

Please Indicate amouniadat 

(Signature required on back) 

mee 

Due Date: 

March 12, 2026 

34177 1 AV 0.405T128°2P02*M02**AUTOMSCH 5-DIGIT 4862 

Total Due: 

$116.33 

JOHN T DEISLER 

H 

9750 JACKSON ST 

SAINT HELEN MI 48656-6220 

Mall Payments fo: 

Hat igtedttghpagbsa sli galuat]ey baggy Eg 

ypata] 

DTE Energy 

P.O. Box 740786 

Cincinnati OH 45274-0786 

For address corrections, please visit dteenergy.com or 

Scan code with Phone 

for quick and secure 

call 800.477.4747. 

yment process! 

Contact Information 

Programs you are enrolled in 

Gas Leak or Gas Emergency 

800.847.5000 

Senior Winter Protection 

Customer Service or Power Outage 800.477.4747 

Hearing-lmpaired TDD Line 

800.888.6886 (Mon-Fri 8am-5pm) 

Web Site 

dtesnergy.com 

] 8 

i) ¢ 7. [ 

He tr 

— Summary of Charges 

I 

- 

Account Balance as of Jan 20, 2028 

90.01 

Payment Recalved Fab 03, 2028 Thank Yout 

- 90.01 

Balance Prior to Current Charges 

0.00 

Total Current Charges 

116.33 

Account Balance as of Fabruary 18, 2028 

$116.33 

Your current charges are dus on March 12, 2026. A 2% late payment charge will be applied If paid after the dus date. 

— Your Monthly Energy Usage 

f 

For ways to save energy and save money, go to dteenergy.com/saveenergy 

GAS 

CCF 

Average Usage per day

Page 1 of 2 

717 

account 

Questions: 

Lonsumers Energy 

Visit: ConstunersEnergy.com 

— 

“il 

us: 

BOOATT-505 

Count on Us® 

Call us: 800-477-5050 

) 

— 

47s 

f= Thank You - We received 

— 

fe 

’ 

© 

your last payment of $108.44 

] 

. 

ar 

09, 2025 

; 

JOHN T DEISLER 

on Recember 09, 

2025 

77 oo 

9750 JACKSON ST 

0 

SAINT HELEN Mi 48656-8229 

I> Service Addrass: 

id 

: 

9750 JACKSON RD 

57, 9 

[og bgefgeyonfosty belgie 

pity 

SAINT HELEN MI 48656-0000 

4 of” 21 

January Energy Bill 

Service dates: December 03, 2025 - January 02, 2026 (31 days) 

Total Electric Use (kWh - kilowatt-hour) 

January Electric Use 

657 

GOB tam 

Cost per day: 

kWh per day: 

20 

Jan 

Feb 

kWh = A 100-watt bulb burning for 10 hours uses 1 kilowatt-hour.

amazon 

| CHASE GQ 

New Balance 

$105.31 

Minimum Payment Due 

$35.00 

Payment Due Date 

03/09/26 

5 

6 

7 

8 

9 

10 

11 

Late Payment Warning: 

If we do not receive your minimum payment 

by the date listed above, you may have to pay a late fee of up to 

$39.00 and your APRs may be subject to Increase to a maximum 

Penalty APR of 29.99%. 

Minimum Payment Warning: 

If you make only the minimum 

payment each period, you will pay more In interest and it will take you 

longer to pay off your balance. For example: 

{fg 

Manage your account oniine: 

*a www.chase.comyamazon 

if you make no 

additionaf charges 

You will pay off the 

balance shown on thie 

And you will end up 

paying an estimated 

using this card and 

| statement in about... 

total of... 

each month you pay... 

Only the minimum 

4 months 

$t10 

payment 

If you would llke information about credit counseling services, call 

1-866-797-2886. 

ACCOUNT SUMMARY 

Account Number; XXXX XXXX “5 

Previous Balance 

Payment, Credits 

-$167.92 

Purchases 

$0.00 

Cash Advances 

$0.00 

Balance Transfers 

$0.00 

Fees Charged 

$0.00 

Interest Charged 

$5.31 

New Balance 

mL me 

me a SL 3 

[11:5 

$267.92 

Opening/Closing Date 

01/13/26 - 02/12/26 

Credit Access Line 

$1,000 

Available Credit 

$894 

Cash Access Line 

$200 

Available for Cash 

$200 

Past Dus Amount 

$0.00 

Balance over the Credit Access Line 

$0.00 

Customer Service: 

1-888-247-4080 

Mablte: Download the 

Chase Mobile® app today 

YOUR AMAZON VISA POINTS 

Previous points balance 

+ 3% back on Amazon.com purchases 

+ 3% back on Whole Foods Market purchases 

+ 2% back at gas stations 

+ 2% back at restaurants 

4.3% back on Chase Travel purchases 

+ 2% back on focal transl/commuiing 

+ 1% back on.all other purchases 

+3% back at Amazon sites and stores 

Total points available for 

redemption 

758 

Reward your routine everywhere you shop with your Amazon 

Visa. The % back rewards you earn under the program are 

tracked as points, Each $1 in % back rewards earned is equal to 

100 points, 

a 

> 

o|o|o|ojojo|o|o 

* As of.this statement, your.card.eamed 3%.baok at-Amazon.com; 

-— 

Whole Foods Market, and on Chase Travel purchases. To check 

your reward status, sign into the Amazon accotnt where your 

oard is loaded, visit *Your Account” page and click *Your 

Payments" fo view your "Rewards stalus.” If the Amazon account 

has an eligible Prime membership, your card could be earning §% 

back on Amazon.com and Whole Foods Market purchases. 

Have a question about an Amazon order? Sign in to your Amazon 

account and go to *Your Account,” then *Your Orders® lo view 

recent orders, For questions about purchases or retums, call 

Amazon Customer Service at 1-888-283-1190, 

wa

T0R2ER 

© $170BUCG -~ 010628 - 0001 - 0003 

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Aualetle 0 

dit 

: Statement Closing. Date 

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~{Daysin ‘Billing ‘Cycle 

Customer Service: 

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~8ond Nollco of Bifling Errors and Customer Service Inquiries to; 

J 

EE 

CC 

ARAGLCUUTIL Dale 

SI thankyou 

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com 

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from C 

Citi 

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cml THANKYOU® MASTERCARDS 

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EAR 

3 

8D, 

57117 

[&] Account Ingiries:, 

Box 8276, Sloux Falls SD, 57117-6276 

1-800-669-8488 

(TTY: 1 

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cr 

! 

) 

Sn 

Account number onc JN 

Text, 10 i 380911 

3 

Cl 

0 

(summary of Account Activity 

: (Payment Information 

| Previous Balance 

$879.16 

$422.89 

$179.16 

Cash Advances 

: 

11 

$29.00 

$14.99 

520.06" 

March 14,2026 

480.00 

Late Payment Warning: If we do not receive your minimum payment by the 

+$0.00 

° 

“date listed above, you may have to pay & late fee up to $40, 

Fees Charged 

Interest Charged 

_+$7.92 

Minimum Payment Warning: 

If you-make only. the. minimum payment each 

I 

New Balance 

~\Rast.Due Amount 

$420.80 

period, you will pay more in Intereat and it will late you longer to pay off your 

balance. For example; 

$0.00 

TFyou make no additional ~~ You will pay off the 

TT And you will 

(Credit Limi 

) 

SEN 

charges using this card 

balance shown on this 1. .endup paying an 

..$1,350.00 ). 

and each.month y 

ment in‘about:.. 

11 

Only the 

. 

you would ike Information about cred Counseling 

services: call 1- 577 337-8187 

Next. 

Cobb 

TRANSACTIONS: 

Merksiing offers, olidedin In thie: statemerit ate Intended for residents ‘ofthe United States. and its Territories: 

Wi 

1

FY VP 

VER VIVA 

2025 

Winter 

Tax for Prop 

# 010-477-004-0000 

WLITEOC LOLALI MULLUIK PULLLULL LUL 

YUUL LECULUS) 

Payment 

Information 

Due 

Date 

Information 

This 

tax is due by: 

02/17/2026 

RICHFIELD TOWNSHIP 

PO BOX 393 

48656 

SAINT HELEN MI 

989-389-4994 

WWW. RICHFIELDTOWNSHIP.ORG 

P.R.E. Exemption Has Reduced This Bill By: 

624.79 

Pay by mail 

to: 

TAX 

DUE 

TO TOWNSHIP TREASURER DECEMBER 

1 THROUGH 

FEBRUARY 

17. 

BEGINNING FEBRUARY 

18 ADD 3% 

PENALTY. 

BEGINNING MARCH 

3RD 

(EXCLUDING PERSONAL PROPERTY TAX), 

PAY TO ROSCOMMON 

COUNTY TREASURER, 

CALL 

{989)275-5823 

FOR AMOUNT. 

A $30 

CHARGE WILL 

BE ADDED FOR RETURNED CHECKS. 

V2 of ZA 

Property 

Information 

Sy 

Computation 

of 

Tax 

: 

Property Owner: DEISLER JOHN 

T 

9750 JACKSON ST 

SAINT HELEN, 

MI 

48656 

parcel 

# 

010-477-004-0000 

: 

401 

548351: 9310 

Prop Addr: 

9750 JACKSON ST 

***Legal 

Descriptiont**x 

Re 

“ihe 

L 

i 

MY 

PATTI, PAYMENT oe 

200 

a 

| > d 

BALANCE ug or (23% 

TT 

PALTV CIC 

pd 

Ua 

| 

| ToT 

4 BLK 27 LAKEVIEW PARK 

[ Of CASH § 

— 

Ope rd 

t 

i 

Fiscal 

Years 

The following 

is provided for your information. 

This 

does not affect the amount 

of taxes 

or when taxes are 

due. 

01/01 

~ 

04/01 

- 

12/31 

school: 

03/31 

State: 

07/01 

- 

10/01 

- 

06/30 

09/30 

County: 

Twn/Cty: 

Taxable Value: 

34,711 

State Equalized Value: 

63,200 

PRE/MBT 

% 

, 

100.0000 

Tax Description 

Rate 

Amount 

-911 

0.96890 

33.63 

0 ROAD PATROL 

1.45330 

50.44 

SENIOR SERVICES 

0.94440 

32.78 

SPONGY MOTH 

0.24630 

8.54 

ANIMAL SHELTER 

0.38690 

13.42 

VETERANS 

- 3,9 

0.15880 

5.51 

CO ROADS 

0.47600 

16.52 

EMERGENCY MGT L¥ 

0.09850 

3.41 

RCTA MINI BUS 

CO 

0.96890 

33,63 

| TWE ALLOCATED 

“&f3 Se 

LT Z8aTe 

- 

Tags 

TT 

VOTED POLICE 

1.40530 

48.77 

VOTED FIRE 

. 

0.93680 

32.51 

VOTED AMBULANCE 

0.70250 

24.38 

- VOTED PUB SAFETY 

0.96280 

33.41 

RAP COOR GEN FUN 

6.28990 

10.06 

RAP COOR SPE ED 

0.72530 

25.17 

RAP SCHOOL OPER 

18.00000 

EXEMPT 

RAP SCHOOL DEBT 

1.46000 

50.67 

RAPKIRTLANDCHAR 

0.81600 

28.32 

RAP KIRTLAND OPE 

1.22450 

42,50 

RAPKIRTLAND DEBT 

0.12000 

4,16 

TRASH PICK-UP 

0.00000 

17000 

FIRE SPECIAL 

~ 

0.81630 

28.33 

POLICE SPECIAL 

1.61910 

56.20 

LAKE 

ST HELEN SA 

SAT0000> 

120.61 

Total Millage 

36.06520 

917.56 

Administration 

Fee 

6.26 

Total Amount Dua: 

923.82 

BF? 

op p50 

203026 

pp dbadans 221(20 2500, 

Cobh —&—

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

John T Deisler 

, 

MICHIGAN TAX TRIBUNAL 

Petitioner(s) 

v 

MTT Docket No. 26 001107 

Township of Richfield 

’ 

Respondent(s) 

PROOF OF SERVICE 

Julie A Tatro 

states that on 

May 19, 2026 

he/she 

[Name of person serving/mailing petition] 

[date of service] 

served a copy of the Answer form and all attachments 

relative to the above-captioned matter upon: 

[Provide name and address of the party/people being served] 

John T Deisler 

9750 Jackson ST 

Saint Helen MI 48656 

ane 

ISigneffe of person who is serving/mailing copy] 

Julie 

A 

otro 

[Print/type name of person serving/mailing copy]

Received 

MAY 26 

2026 

LARA 

Toumship of Richfielh 

1410 N. ST. HELEN ROAD 

P.O. BOX 128 

ST. HELEN, MICHIGAN 48656 

Michigan Tax Tri

PO Box 30232 

Lansing MI 48909

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