Rybachok.pdf

Olena Rybachok, Petitioner V Township Of Berrien, Respondent · 24-003659-TT

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RECEIVED 

JUL 12 2024 

yea, 

MICHIGAN TAX TRIBUNAL 

os 

10: 

ALE TANER R fe EK 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 

|. BROWN, DPA 

STATE OF MICHIGAN 

GOVERNOR 

DIRECTOR 

I ANSING 

PROPERTY TAX APPEAL PETITION FORM 

VALUATION / EXEMPTION / CLASSIFICATION APPEAL 

Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Special Assessment, or 

Non-Property tax disputes. 

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 or Notice of Uncapping) with this Small Claims Petition, if applicable. If you do not 

submit this document, you may be held in default. 

Section 1: Petitioner’s Contact Information 

First Name 

M1. 

Last Name/Company Name 

Olena 

Rybachok 

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

11020 Smith Valley Rd. 

City or Town 

State 

ZIP Code 

Berrien Springs 

Mi 

49103 

Telephone Number 

Fax Number 

425-381-0574 

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

olenamuz@gmail.com 

Section 2: Petitioner’s Atta rnAuhot Ze Representative’s Contact Information 

First Name 

Last Name 

Firm Name (if any) 

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

City or Town 

State 

ZIP Code 

Telephone Number 

Fax Number 

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

Section 3: Subject Property Information 

How many 

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

parcelsareyou | [7] vest 

[] no 

appealing? 

*If yes, use a multiple parcel form for information regarding any contiguous parcels. 

“Hf no, you must file separate appeals for each non-contiguous or non-adjoining parcel or you will be defaulted.

STATE 

OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Issues Being Appealed (check 

an that apply) 

if True Cashand Taxable Value 

[J Poverty Exemption 

[1 Taxable Value Only {calculation} 

[1 Disabled Veterans Exemption 

[] Uncapping of Taxable Value 

C1 Eligible Manufacturing Personal Property (ESA) 

1 Exemption from Taxation (other than the denial of a 

OO classification 

Principal Residence or Qualified Agricultural Exemption) 

Section 5: Explain the Reason for this Appeal 

At the time of the last assessment the property improvements cash value and taxable 

value were lower than the amount stated in the summer tax notice. This can be proved 

by multiple signed construction work waivers which indicate what improvements were 

completed and at what time. In addition to that, there is proof of mechanical, electrical, 

and plumbing rough inspections, which were done at the end of the February 2024, and 

which state that by December 2023 only framing, roofing, and siding work was done. As 

of today, July 8, 2024, the construction still continues and the house has not passed any 

of the final inspections. 

Section 6: Jurisdictional Issues 

Year(s) you are appealing: 

2024 

Did you protest the assessment at a Board of Review (BOR)? LJ Yes 

[No 

if Yes, check which BOR you attended AND attach the BOR decision: 0 March 

[I] July 

0 December 

1f No, check the applicable reason(s): 

7] Not required to attend 

Assessment Cirange Notice was not received by Petitioner 

12] Appeating a purported Clerical Error or Mutual Mistake of Fact (if yes, Include explanation In Section 5) 

[C1 appealing within 35 days of State Tax Commission Order 

[1 Appealing within 35 days of recelpt of Notice of Uncapping

Ret) 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 7: Valuation Information use the multiple parcel form for additional, contiguous parcels. 

Parcel! identification Number: 

11-04-0028-0014-08-0 

Classification of Property: 

Real 

Personal 

(check one) 

Agricultural 

Commercial 

Industrial 

a 

Timber-Cutover 

Developmental 

Utility 

(check one) 

% 

Current Assessed Value (also known as State Equalized Value) as established by the BOR: 

216,500 

Current Taxable Value as established by the BOR: 

216,500 

What do you balieve Is the fair market value (also known as True Cash Value)? 

260,000 

Muttiply the True Gash Value by .5 and enter here. This is your contention of Assessed Value. 

130,000 

If you believe the Taxable Value differs from your contention of Assessed Value, enter your contention of Taxable Value. 

Section 8: Classification Information ony the Mi Dept 

of Treasury may appeal this isstis to the Tribunal* 

Parcel Identification Number: 

11-04-0028-0014-08-0 

Current Classification of Property as established by Board of Review: 

Real 

Personal 

{check one) 

[m} 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

flevelopmental 

 Utllity 

(check one) 

[4 

What do you believe is the property's classification? 

Real 

Personal 

(check one) 

[m] 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

Developmental 

Utility 

(check one} 

If improved property, how is the property currently being used? 

Currently under construction 

If improved property, for what use was the property designed? 

For primary residency

AETT0p, 

yo 

Peas 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Fee Information 

Does the subject property have a Principal Residence Exemption of at least 50% as of the date of the filing of this petition? 

[a] Yes 

No 

Are you appealing ONLY the denial of a Poverty Exemption or Disabled Veterans Exemption? 

[| Yes 

[td 

No 

If you answered yes to either or both of the above questions, you are not required to pay any filing fees. 

The filing fee is based on the greater of the State Equalized Value or Taxable Value in contention. 

If you are appealing more than one 

parcel, the parcel with the highast State Equalized Value or Taxable Value in contention will be used to determine your filing fee, plus 

$25.00 will be added for each additional parcel being appealed, hot to exceed a total filing fee of $1,000. 

if your property is residential property (see MGL 206.762) and 

the State Equalized Value or Taxable Value in contention is: 

Filing Fee is: 

$100,000.00 

and wider 

$125.00 

$100,000.01 to $500,000.00 

$200.00 

$Over $500,000.00 

$300.00 

If your property is NOT residential property (see MCL 205.762) and 

the State Equalized Value or Taxable Value in contention is: 

Filing Fee Is: 

$100,000.00 

and under 

$250.00 

*Plus $25.00 for each additional parcel, as indicated above. 

if your property Is NOT residential property 

and the State Equalized Value or Taxable Value in contention is $100,000.01 or greater the 

appeal does not qualify for Sinall Claims. Therefore, an Entire Tribunal petition must be filed. 

Signature *required 

yi 

Petitioner 

or Attorney/Authorized Representative’s Signature: 

V4 Zr 

A 

/ 

Lf Ae 

isi

EFERHEIEI |W UNDER 

8916 M-140 

BERRIEN CENTER, Mi 49102 

Ph 269.461.6925 

« 

Fx 269.461.3762 

NOT HOMEOWNERS PRINCIPAL RESIDENCE 

FOR BiHRIEN FOWNSHIF 

IN THE COUNTY OF BERRIEN, STATE OF MICHIGAN 

FOR THE YEAR 2024 

PROPERTY NUMBER 

11-04-0028-0014-08-0 

PROPERTY ADDRESS 

7006 TRUE RD 

SCHOOL DISTRICT: 11240 BERRIEN SPRINGS PUBLIC SCHS 

TEMP - RETURN SERVICE REQUESTED 

7- 1645 

PROPERTY PRE: 

0% EXEMPT 

defo 

p 

peg EE 

PP 

eB 

fy Led faB fend [IT 

PROPERTY CLASS: 401 RESIDENTIAL-IMPROVED 

RYBACHEK ALEXANDER 

RYBACHOK OLENA 

TAXABLE: 

$216,500 

11020 SMITH VALLEY RD 

EQUALIZED: 

$216,500 

BERRIEN SPRINGS, MI 49103-9677 

ASSESSED: 

$216,500 

COMBINED ON 05/30/2023 FROM 04-0028-0014-06-0, 

COUNTY GENE RAL 

4.76800 

1 EY 

04-0028-0014-05-0, 04-0028-0014-07-0; BEG 652.75" NB9DEG46'57'E 

SCHOOL OPERATING 

18.00000 

3,897.00 

OF NW COR SW 1/4 NE 1/4 SD NW COR BEING SO1DEG1242'E 

SCH-2018DEBTSERV 

2.80000 

606.20 

Acres: 9.95 

LAKE MI COLLEGE 

2.26540 

490.45 

RESA GENERAL 

17430 

37.73 

YOUR 2024 SUMMER PROPERTY TAX PAYMENT IS DUE IN THE 

RESA SPECIAL ED 

2.19340 

474.87 

TOWNSHIP OFFICE ON MONDAY, SEPT 16TH. POSTMARKS ARE 

TOTAL 

7,837.52 

NOT ACCEPTED, SO ALLOW AMPLE MAILING TIME. FOR 

ADMIN FEE 

78.37 

PAYMENTS MADE AFTER SEPT 16TH, CALL THE TOWNSHIP 

py 

OFFICE AT 269-461-6925 FOR AMOUNT DUE WITH PENALTY. 

TOTAL DUE 

7,915.89 

PAYMENTS: *PAY BY CHECK: MAKE PAYABLE TO BERRIEN 

TOWNSHIP “PAY BY CREDIT CARD: ADD 3% SURCHARGE” 

*GASH: EXACT AMOUNT ONLY, NO CHANGE PROVIDED. 

BERRIEN TOWNSHIP'S OFFICE IS OPEN M-TH FROM 10-4 FOR 

PAYMENTS AFTER HOURS, USE THE TOWNSHIF'S SOUTH 

ENTRANCE 

DROP BOX WHEN REQUESTING A RECEIPT BY 

MAIL, PLEASE INCLUDE A SELF-ADDRESSED, STAMPED 

ENVELOPE. QUESTIONS? PLEASE GIVE THE TOWNSHIP A CALL 

AT 269-461-6925. 

TOP PORTION FOR YOUR RECORDS 

RYBACHEK ALEXANDER 

RYBACHOK OLENA 

11020 SMITH VALLEY RD 

Return This Portion with Your Payment 

SUMMER TAX NOTICE FOR THE YEAR 2024 

BERRIEN SPRINGS, MI 49103-9677 

PROPERTY NUMBER: 

11-04-0028-0014-08-0 

PROPERTY ADDRESS: 

7006 TRUE RD

WINTER TAX NOTICE 

BERRIEN TOWNSHIP 

FOR BERRIEN TOWNSHIP 

8916 M-140 

IN THE COUNTY OF BERRIEN, STATE OF MICHIGAN 

/ 

BERRIEN CENTER, Ml 48102 

FOR THE YEAR 2023 

Ph 269.461.6925 

© 

Fx 269.461.3762 

PROPERTY NUMBER 

11-04-0028-0014-07-0 

NOT HOMEOWNERS PRINCIPAL RESIDENCE 

PIRUERD 

SCHOOL DISTRICT: 11240 BERRIEN SPRINGS PUBLIC SCHS 

TEMP - RETURN SERVICE REQUESTED 

8-1674 

PROPERTY PRE: 

0% EXEMPT 

Hyfeegdipg gE I 

nde Bp 

peop ype ef of 

PROPERTY CLASS: 402 RESIDENTIAL-VACANT 

RYBACHEK ALEXANDER 

RYBACHOK OLENA 

TAXABLE: 

$19,700 

11020 SMITH VALLEY RD 

EQUALIZED: 

$19,700 

BERRIEN SPRINGS, MI 48103-9677 

ASSESSED: 

$18,700 

SPLIT/COMBINED ON 04/30/2018 FROM 04-0028-0014-04-8, 

Suny Ml 

NF 

F450 

gee 

04-0028-0007-01-7; BEG N8IDEG46'57"E 1087.91 OF NW COR SW 

ESUNTY SR GTR 

29970 

560 

1/4 NE 1/4 SD NW COR BEING S01DEG12'42"E 1330.01 OF N 1/4 

COUNTY PARKS 

‘09990 

1.96 

PST SEC 28 T6S R17W TH NBIDEG46'57"E ON N LN 217.59 TO E 

TOWNSHIP 

70670 

13.92 

IN 

Acres: 3.32 

LIBRARY 

74510 

14.67 

FIRE EQUIP 

1.00000 

19.70 

YOUR 2023 WINTER PROPERTY TAX PAYMENT IS DUE IN THE 

TWP ROAD REPAIR 

-00000 

40.00 

TOWNSHIP OFFICE ON WEDNESDAY, FEBRUARY 14TH 

TOTAL 

111.88 

PAYMENTS: *BY CHECK; MAKE PAYABLE TO BERRIEN TOWNSHIP 

ADMIN FEE 

71 

*CASH; PLEASE PAY THE EXACT AMOUNT *GREDIT CARD; ADD 

TOTAL DUE 

112.58 

3% SURCHARGE FOR PAYMENTS MADE AFTER FEBRUARY 14TH, 

" 

PLEASE CALL THE TOWNSHIP OFFICE AT 269-461-6925. 

OFFICE HOURS ARE M-TH 10-4; OR USE THE TOWNSHIP'S 

CONVENIENT "AFTER HOURS DROP BOX" AT THE SOUTH 

ENTRANCE. WHEN REQUESTING A RECEIPT BY MAIL, PLEASE 

INCLUDE A SELF-ADDRESSED STAMPED ENVELOPE. IF YOU 

HAVE ANY QUESTIONS, PLEASE GIVE US A CALL AT 

269-461-6925.

WINTER TAX NOTICE 

BERRIEN TOWNSHIP 

FOR BERRIEN TOWNSHIP 

8916 M-140 

IN THE COUNTY OF BERRIEN, STATE OF MICHIGAN 

BERRIEN CENTER, Ml 49102 

FOR THE YEAR 2023 

Ph 260.461,6925 

« 

Fx 269.461.3762 

PROPERTY NUMBER 

11-04-0028-0014-06-0 

NOT HOMEOWNERS PRINCIPAL RESIDENCE 

RNase 

7036 TRUE RD 

SCHOOL DISTRICT: 11240 BERRIEN SPRINGS PUBLIC SCHS 

TEMP - RETURN SERVICE REQUESTED 

51673 

PROPERTY PRE: 

0% EXEMET 

EE SB TRH TE HRI TRTRE FT 

EU TR 

PROPERTY CLASS: 402 RESIDENTIAL-VACANT 

RYBACHEK ALEXANDER 

RYBACHOK OLENA 

TAXABLE: 

$19,700 

11020 SMITH VALLEY RD 

EQUALIZED: 

$19,700 

BERRIEN SPRINGS, MI 48103-9677 

ASSESSED: 

$19,700 

c 

1 

8.85 

SPLIT/COMBINED ON 04/30/2018 FROM 04-0028-0014-04-8, 

ri Al ENE 

: 

2.80 

04-0028-0007-01-7; BEG 870.33" NBIDEG46'57"'E OF NW COR SW 

COUNTY SR CTR 

29970 

5.80 

1/4 NE 1/4 SD NW COR BEING SO1DEG12'42'E $330.01 OF N 1/4 

COUNTY PARKS 

109990 

1.96 

PST SEC 28 T6S R17W TH NSODEG46'57"E ON N LN 217.58' TH 

TOWNSHIP 

70670 

13.92 

Acres: 3.32 

LIBRARY 

74510 

14.67 

EIRE EQUIP 

1.00000 

19.70 

YOUR 2023 WINTER PROPERTY TAX PAYMENT IS DUE IN THE 

TWP ROAD REPAIR 

-00000 

40.00 

TOWNSHIP OFFICE ON WEDNESDAY, FEBRUARY 14TH 

TOTAL 

111.88 

PAYMENTS: *BY CHECK; MAKE PAYABLE TO BERRIEN TOWNSHIP 

ADMIN FEE 

71 

"CASH; PLEASE PAY THE EXACT AMOUNT "CREDIT CARD; ADD 

TOTAL DUE 

112.59 

3% SURCHARGE FOR PAYMENTS MADE AFTER FEBRUARY 14TH, 

: 

PLEASE CALL THE TOWNSHIP OFFICE AT 269-461-6825. 

OFFICE HOURS ARE M-TH 10-4; OR USE THE TOWNSHIP'S 

CONVENIENT "AFTER HOURS DROP BOX" AT THE SOUTH 

ENTRANCE. WHEN REQUESTING A RECEIPT BY MAIL, PLEASE 

INCLUDE A SELF-ADDRESSED STAMPED ENVELOPE, IF YOU 

HAVE ANY QUESTIONS, PLEASE GIVE US A CALL AT 

269-461-6925.

WINTER TAX NOTICE 

BERRIEN TOWNSHIP 

FOR BERRIEN TOWNSHIP 

| 

8916 M-140 

IN THE COUNTY OF BERRIEN, STATE OF MICHIGAN 

/ 

BERRIEN CENTER, Mi 49102 

FOR THE YEAR 2023 

Ph 260.461.6025 

Fx 269.461.3762 

PROPERTY NUMBER 

11-04-0028-0014-05-0 

PROPERTY ADDRESS 

NOT HOMEOWNERS PRINCIPAL RESIDENCE 

TRUE BD 

SCHOOL DISTRICT: 11240 BERRIEN SPRINGS PUBLIC SCHS 

TEMP - RETURN SERVICE REQUESTED 

5.1672 

PROPERTY PRE: 

0% EXEMPT 

BHR 

ULC 

FO 

FU 

AR 

GUE STUER 

FO 

LE 

PROPERTY CLASS: 402 RESIDENTIAL-VACANT 

RYBACHEK ALEXANDER 

RYBACHOK OLENA 

TAXABLE: 

$19,700 

11020 SMITH VALLEY RD 

EQUALIZED: 

$19,700 

BERRIEN SPRINGS, Ml 43103-8677 

ASSESSED: 

$19,700 

SPLIT ON 04/30/2018 FROM 04-0028-0014-04-8, 04-0028-0007-01-7; 

BEG 652.75' NBODEGAS'57"E OF NW COR SW 1/4 NE 1/4 SD NW 

SouNTY LAVLENF 

: 

: 

COR BEING S01DEG12'42"E 1330.01" OF N 1/4 PST SEC 28 T6S 

COUNTY PARKS 

08890 

1.96 

R17W TH NBSDEG48'57"E ON N LN 217.58' TH S01DEG28'50"E 

TOWNSHIP 

70670 

13.92 

Acres: 3.32 

LIBRARY 

74510 

14.67 

FIRE EQUIP 

1.00000 

19.70 

YOUR 2023 WINTER PROPERTY TAX PAYMENT IS DUE IN THE 

TWP ROAD REPAIR 

.00000 

40.00 

TOWNSHIP OFFICE ON WEDNESDAY, FERRUARY 14TH 

TOTAL 

111.88 

PAYMENTS: "BY CHECK; MAKE PAYABLE TO BERRIEN TOWNSHIP 

ADMIN FEE 

71 

CASH; PLEASE PAY THE EXACT AMOUNT "CREDIT CARD; ADD 

TOTAL DUE 

112.59 

3% SURCHARGE FOR PAYMENTS MADE AFTER FEBRUARY 14TH, 

PLEASE CALL THE TOWNSHIP OFFICE AT 269-461-6925. 

OFFICE HOURS ARE M-TH 10-4; OR USE THE TOWNSHIP'S 

CONVENIENT "AFTER HOURS DROP BOX" AT THE SOUTH 

ENTRANCE, WHEN REQUESTING A RECEIPT BY MAIL, PLEASE 

INCLUDE A SELF-ADDRESSED STAMPED ENVELOPE. IF YOU 

HAVE ANY QUESTIONS, PLEASE GIVE US A CALL AT 

269-461-6925.

FULL UNCONDITIONAL WAIVER OF LIEN 

My/Our contract with: 

SUPERIOR WALLS 

to provide the following labor and/or materials and/or supplies: 

BASEMENT WALLS 

CONCRETE BASEMENT WALLS MATERIAL 

£9g 

AND INSTALLATION. 

T 

for the improvement 

fo property described as: 

7006 True RD, 

BVRACH 

BERRIEN SPRINGS MI 49103 

RYBAC 

HOUSE OF ALEXANDER 

=K 

has been fully paid and satisfied. By signing this waiver, YWe waive and release all my/our construction lien 

rights against the described property. 

ff the owner or lessees of the property or the owner's or lessse’s designee has received a notice of furnishing 

from mefone of us or if Ifwe are not required to provide one, and the owner, lessee, or desi 

! 

repeived this waiver directly 

from me/one of us, the owner, lessee, or designee may not rely upon it without 

contacting mefong of us, slither In writing, by telephone, or personally, to verify that it is authentic. 

Signed on: 

08/13/1202 

Taxpayer 1D#: 

Fler 

fd REL 

- 

(if required) 

Type of print name: 

SUPERIOR WAT LS 

Streel/PO Box: 

ABBE 134TH AVE 

City/State/ZiP: 

HAMILTON, MI 494189 

Telephone # 

D0 NOT 

SIGH BLAM OR INCOMPLETE FORMS. RETAIN 

A GOPY,

We have a contract with; 

for the improvement to 

operty 

ny/our construction lien to th 

and by signing this waver, We w 

tals andlor Sept provided through _U 

Zi 

for labor and/or mate 

This waiver, together with all previous walvers, 

if 

any, 

does 

© 

does not cover all amounts due fo me/us 

for confract improvement provided through the date shown above. 

If the owner or 

from mefone 

o of us 

thi 

conta cling melons 

o ius 

or lesses's designe 

std 

to provide 

ane and 

| the own 

m melone of us, the owner, 

less 

by telephong, or person 

SWE 

H rely upon it withaut 

sthentic. 

Signed on: 

$f required) 

eur gon 

Chy/StatelZiF:

My/Our contract with: 

Reuben Eicher and Sons LLC 

to provide the following labor and/or materials and/or supplies: 

Framing of the House 

for the improvement to property described as: 

Alex Rybachel Houses 

fel 

7006 True Rd, Berrien Springs, Ml 49103 

has been fully paid and satisfied. By signing this waiver, Ws walve and release aif miylour construction lien 

rights against the described properly. 

paid in full fast $8,000.60 (eight thousand) dollars out of total $38,000.00 (thirty eight 

thousand) dollars 

wner's or lessee’s designee has received a notice of furnishing 

from mefone of us or if ifwe 

0 provid 

sd the owner, lessee, or designee fas not 

received this waiver directly from 

melone of us, the owner, lessee, or designee may not rely upon 

it without 

contacting mefone of us, ether in writing, by telephone, or personally, to verify that 

it is authentic, 

If the owner or lessees of the property or the oy 

Signed on; 

Taxpayer Dd 

{if required) 

Type or print name: 

3 

SirestPO Bax: 

1286 Jonesville lid 

) 

City/Siate/ZI™ 

Sriney. 1 {29653 

) 

BG MO 

RINCOMPLETE FORMS, RET,

LIEN WAIVER 

cash, or Credit Card in the amount of Fifty-six thousand five hundred forty-four dollars 

and twenty-seven cents 

Dollars ($ 56,544.27 

) from 

Alexander Rybachek 

in payment for the materials furnished or to 

be furnished by the undersigned, for said job, described as follows: 

voice 

30368826 purchased on 7/19/23. Invoices 2025 and 30368086 purchased on 7/24/23. 

invoice 2507, 30369204 purchased on 7/26/23. Invoices 30369667, 30369668, 

30368669, and 4451 purchased on 8/4/23, 

B 

Misc material purchased on receipts dated 8/7 through 8/25 

Invoices 9549, 30370866, and 2427 purchased on 8/28 

Materials for new House Build 

(describe, include invoice numbers, receipts) by the undersigned delivered or furnished 

to 

(or performed at) 7006 True Rd., Niles, MI 49120 

(legal 

description 

if available, 

otherwise 

street address 

and 

County 

and 

State, 

or 

clear 

description) said improvement being done 

for 

building new house 

(i.e. house, pole building, ect.) and for value received, and upon the above check clearing the 

drawer's bank, the undersigned hereby waives those rights which may have been acquired 

by the undersigned 

to 

file mechanics liens against said premises on account of the ahove 

described 

labor and/or materials 

delivered 

and 

furnished 

by 

the 

undersigned, 

and 

ihe 

undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore 

existing 

priority, mechanics 

lien 

rights 

against 

said premises 

for labor and/or materials 

delivered 

and/or 

furnished 

to 

said 

premises payment 

for which 

is 

not 

included 

in 

the 

aforesaid payment, 

Dated this 28th 

day of August 

2043

FULL 

UJ NCOND! TIONAL WAI VER OF LIED N 

My/Our contract with: 

Alexander Bybachek 

to provide the following labor and/or materials and/or supplies: 

Work of Covering Roof with Roofing material 

8 

B 

for the improvement to properly described as: 

7006 

has been fully paid and satisfied. By signing this waiver, We walve and release all yfour construction lien 

rights against the described property. 

Remaining amount 

45, G00.00 of total 

en Springs, Mi 49103 

If the owner or lessee of the properly or the owner! 

co of furnishing 

from miefone of us or if lwe are not required to rovito 

o ong, 

o 

and the owner, Fevaos, 

© or designoe tras not 

received this waiver directly from mefone of us, the owner, lessee, or designee may not rely upon it without 

contacting mefone of us, either in writing, by telephone, or personally, to verify that it is authentic, 

Signed om: 

Taxpayer [DE 

(if required) 

Type or print name: 

Street/PO Box: 

- 

) 

City/State/Zip; 

Benton Harbor, MI 49022 

Telephone #: 

1-269-815-2775 

BOMOTS 

HE OR INCOMPL 

ORME. 

AM A GORY,

UNGONDITIONAL WAIVER OF LIEN 

Miy/Our contract with: 

. 

. 

N 

5 

’ 

Old School Construction with Alexander Rybachek 

to provide the following labor and/or materials and/or supplies: 

Siding Labour 

{ 

i 

i 

q 

fy 

da 

toe 

Bylorhelk § 

oo 

for the improvement to property described as: 

Alexande: Rybachek house 

7006 True BY, Bervien Springs, ME 49703 

has been fully paid and satisfied. By signing this waiver, MWe waive and release all mylour construction lien 

rights against the described propertly. 

i. 

Final $2008.00 of total $5.5 

If the owner or lessees of the property or the owner's or lesses's designee has received a notice of fumishing 

from mefone of us or if we are not required {o provide one, and the owner, lessee, or designee has not 

received this waiver directly from me/one of us, the owner, lessee, or designee may not rely upon it without 

contacting mefone of us, either in writing, by telephone, or personally, to verily that it is authentic, 

Signed or 

11/22/2023 

Taxpayer DE: 

(if required) 

Type or print name: 

Telephone & 

AHR NT

§ 

eR 

¥ 

#2) 

NS 

AE 

EN 

i" 

TE 

8 

¥ E> Fa 

6 

A 

| 

SI 

et 

;. 

gn 

Michigan Departmentioflieensing and Regulatory Affairs 

Bureau of Construdtioni©odes / Plumbing Division

i 

“ujeBe - joke aseald "91SEM JOWNSUOD-1S0d WO spew si abexoed sug 

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js Par 

| 

9510 8105 6306 4190 5449 91 

} 

p

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