Capone.pdf

Sandra Jo Capone, Petitioner V Township Of Plainfield, Respondent · 26-000236-TT

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GRETCHEN WHITMER 

GOVERNOR 

a, 

Ag 

hla’ 

Bi 

Red 

STATE OF MICHIGAN 

LANSING 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

RECEIVED 

JAN 2 9 2026 

MICHIGAN TAX TRIBUNAL 

MARLON |. BROWN, DPA 

DIRECTOR 

POVERTY EXEMPTION 

PROPERTY TAX APPEAL PETITION FORM 

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

Exemption, or other exemption disputes. 

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 default. 

Section 1: Petitioner’s Contact Information 

First Name 

MI. 

Last Name/Company 

Name 

erp RA 

I | “Capone 

Mating 

2'33 ‘% Street, P.O. Box 

or Rural Route) 

M 

J6.33 

BRiG95 BLVD. N.E. 

City 

or 633 

State 

ZIP Code 

222) RAPIoS 

rr 

#9525 

v7 

v6) 

780 srt] 

Le IY {do not enter unless you want MTT to send all correspondence via emai) 

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

First Name 

Last Name 

I 

Firm Name (if any) 

Mailing Address (No., Street, Po 

Sopra Route) 

City or Town 

State 

ZIP Code 

Telephone dd 

Email Adffress {do not enter unless you want MTT to send all correspondence via email) 

Section 3: Subject Property Information 

Parcel Identification Number: 

GP —/0—~31~ 454-028 

Steet) 

"% 33 

Ze 

2/955 Blvo- ME 

EP 

or > D Raprcls 

“Ren 

State 

Via 

dd 

ZIP Code 

492525" 

Sain 

lECD Top.

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 1. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Explain the Reason for this Appeal 

Plwsac cree 

Decem bar FoR Has 

SI9Es7E0 

That To HAVE (RDI 

Dears RESIDING 

and 

QoNT R (Burts ig AtowrES 

To My 

FHooSS Ho lof 

Mott ES 

WV 

Section 5: Jurisdictional Issues 

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

LJ No 

If Yes, check which BOR you attended: [i] March 

[Wm] July 

[\4 pecember 

If No, please explain: 

Date the BOR decision was issued: 

/2-F-25 

zo25 

Tax year(s} denied: 

Fee Information 

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

Signature required 

Petitioner or oon 

(oop Representative’s Signature: 

1st 

SHNCORA Capone 7 Zr

PLAINFIELD CHARTER TOWNSHIP 

Ms. Sandra Capone 

3633 Briggs Blvd. NE 

Grand Rapids 

MI 49525 

Re: 

2025 Poverty Exemption Application/December Board of Review Action 

Ms. Capone, 

The Plainfield Charter Township Board of Review (BOR) met on the above-mentioned date to address 

requested changes to the assessment rolls for various years. 

Your parcel was addressed at this meeting 

in response to your application for a ‘Poverty Exemption’ for the 2025 tax year, under Michigan Compiled 

Law (MCL)211.7u. 

1It has been 

determined 

by the BOR, based 

on the submitted documentation, and research into the 

situation 

thet the number of 

occupants 

that reside at your home may not have been disclosed on the 

‘application. 

Therefore, income for the household Arr 

ir 

ret 

incomplete, resulting 

in the Board deliberating to a decision of denial of the application 

for exemption. 

Accompanying this letter is a copy of Form 4031 from the BOR meeting, 

N 

verifying this decision. 

If you choose, you can appeal this decision to the Michigan Tax Tribunal within 35 days of the BOR 

decision. 

Information, forms, etc. can be found at https://www.michigan.gov/taxtrib 

If you have any questions, please feel free to contact me at (616) 726-8882 or millerj@plainfieldmi.org 

Sincerely, oR 

[48 Wells, 

Jeff M. Miller, MMAO 

Assessor

Michigan Department of Treasury 

pa 

A 

4031 (Rev. 09-22) 

Assessment Year: 

2025 

July/December Board of Review Affidavit 

‘Issued under authority of P.A 206 of 1893. Filing is mandatory. 

Petition/Docket #: 

D25-07 

The authority for July/December board of review action is stated in the General Property Tax Act, MCL 211.53b. The July/December Board of Review can take action 

regarding qualified errors verified by the assessor (MCL 211 .53b(1), (8)). The July/December Board of Review can also take action under MCL.211.53b regarding a 

poverty exemption for the current year under MCL 211.7u; a qualified agricultural property exemption under MCL 211.ee for the current year; which has been denied 

by the assessor; a qualified agricultural property exemption under MCL 211.ee that was not on the assessment roll for the current year and one prior year, or a 

qualified forest property exemption under MCL 211.7jj(1) that was not on the assessment roll for the current year and one prior year. 

In addition, other statutes, such 

as MCP 211.7b related to the disabled veterans exemption, and MCL 211.7ss related to the eligible development property exemption, provide authority for the 

July/December Board of Review to take action. 

Form 3128 (L-4035a) must be completed by the Board of Review and made a part of the Board of Review records whenever a change is made to an individual 

parcel of property which causes a change in Taxable Value. 

PART A: IDENTIFICATION 

Owner Name 

CAPONE SANDRA 

[Owner Street Address 

City 

State 

ZIP Code 

3633 BRIGGS BLVD NE 

GRAND RAPIDS 

MI 

[49525 

Parcel Number 

Property School District 

Property Classification 

41-10-31-454-028 

NORTHVIEW PUBLIC SCHOO 

401 

Property Street Address 

City 

State 

ZIP Code 

3633 BRIGGS BLVD NE 

GRAND RAPIDS 

MI 

49525 

PART B: ADJUSTMENTS 

i 

i 

Item or Taxing Authority 

Note or Millage 

Original 

Adjusted 

Difference 

PLAINFIELD CHARTER TW 

Assessed Value 

DBOR 

165,700 

165,700 

0 

Taxable Value 

12/09/2025 

77,608 

77,608 

0 

P.R.E. 

100.00 % 

100.00 % 

0.00 9, 

Property Class 

401 

School District 

41025 

Classification 

Ad Valorem 

Veteran Exemption 

None 

None 

TOTALS 

Reason for change (see instructions on page 2): 

[I Poverty Exemption 

[aualified Agricultural Exemption 

J Disabled Veterans Exemption 

1] Qualified Forest Exemption 

J Sit Poperty 

™ Qualified Error 

Explanation: 

MCL 211.7u - Poverty Exemption 

POVERTY EXEMPTION DENIED DUE TO UNCERTAINTY OF OCCUPANTS LIVING IN HOUSEHOLD 

PART C: CERTIFICATION, BOARD OF REVIEW MEMBERS

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