Refund Request 23-002343.pdf
David C Peterson, Petitioner V Township Of Ross, Respondent · 25-002343-TT
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Page 1
200.00 Tori Russell 10/17/25 4606-26007786-1 STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR MICHIGAN TAX TRIBUNAL REFUND REQUEST Payee Name: _DaYid C Pederson Payee Address: [4590 “Tri Wy won Tr, Pugusta, MY 8419012 MTT Docket No:Z5 (02343 Amount of Refund Requosted:$ 200,00 Reason for Refund: KFilingMotion Fee Overpaid [ODuplicate Docket [Other Payment Information: Docket Lookup Line # of Payment: = 2 Date of Payment; 5 / | | 2025 Check #:__ 54 277 Validation/Confirmation #: Requestor’s Signature: Dav ld Cc. Zt Tre 4606-26007786-1 For Tribunal Use Only: Computation of Refund Amount: Amount paid: $ 200.00 Granted: OJ Amount Due: $ Denied: [OO Amount Refunded: $
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Cash, Checks & Misc : Checks Front View Overs Oude 1626581000 vw domgroctecta con DAVID PETERSON. MARY PETERSON (269) 501-0530 14590 TRILLIUM DR AUGUSTA, MI 49012 Pay to the # $i R00. 00 3 Order of oF i au / 780 Dollars a = To ive'in peace with others. 1Thes 5:13 BANK OF AMERICA = i ACH RIT 111000025 - H ro begs 1x Hgtal.. _Dauiole Fodnaent ATR at, aero © @ 7A Pon ve A epeToed Back View If you are unable to view this item and require customer service to describe it to you, please call the customer service phone number located on your account statement.
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EE " GRAND RAPIDS MI 493 Ross Township ¥ LIE: quadient 12086 M-89 25 PM 2:4; ee FIRST-CLASS Richland, MI 49083 —— 10/08/2025 ZI 043M30259547 Fie: $000.74 Mich an last Th SES Po BOK 2232 Lansing, WM 43909 \ - Lo SEEnE-FTEREE Ailbdyy itp gga hii