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02._Property_Tax_Appeal_Petition_Form_Principal_Residence_Qualified_Agricultural_Exemption.12e4916a-8391-4686-aae2-754bb0420a26.pdf

Dustin Cupp, Christina Cupp, Petitioners V Township Of Mendon, Respondent · 24-003355-TT

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Page 1

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

PROPERTY TAX APPEAL PETITION FORM

PRINCIPAL RESIDENCE EXEMPTION / QUALIFIED AGRICULTURAL EXEMPTION

MOAHR DOCKET NO. 

Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. Notice of Denial or 

Board of Review Decision) with this Small Claims Petition, if applicable. If you do not submit this document, you may be placed in default.

Section 1: Petitioner’s Contact Information

Filer Type: Individual 

First Name

Dustin & Christina

M.I.

L.

Last Name/Company Name

Cupp

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

51665 Osgood Road

City or Town

Mendon

State

Michigan

ZIP Code

49072

Telephone Number

2695060875

Fax Number

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

cuppzoey@aol.com

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

First Name

Tom

M.I.

Last Name

Dillon

Firm Name (if any)

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

1700 E Beltline NE, Ste 200

City or Town

Grand Rapids

State

Michigan

ZIP Code

49525

Telephone Number

616-726-2258

Fax Number

E-mail Address

tdillon@fosterswift.com

Section 3: Subject Property Information

Parcel Identification Number:

75-010-016-012-00 & 75-010-016-013-00

How many parcels are you appealing?

2

If you are appealing more than one parcel, are they contiguous or adjoining? If yes, use the attached multiple parcel 

form for information regarding any contiguous parcels. If no, you must file separate appeals for each non-

contiguous or non-adjoining parcels or you will be defaulted.

Property Address (No., Street, City, ST, ZIP) (If multiple, list first property’s address) 

Vacant Land

Mendon

Page 2

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

Michigan

49072

Taxing Authority:

Township Of Mendon (SAINT JOSEPH)

County:

Saint Joseph

Classification of Property:

Real

Agricultural

Section 4: Check which of the following you are appealing

Qualified Agricultural Exemption

Section 5: Explain the Reason for this Appeal

See attachment to Petition. 

Section 6: Jurisdictional Issues

List the year(s) denied:

2024

Indicate who denied the exemption under appeal:

Local Unit 

If you checked “other” above, explain:

List the date the Principal Residence Exemption or Qualified Agricultural Exemption was denied:

July 26, 2024

Fee Information

A fee of $25.00 is required for the filing of this appeal unless you possess a Principal Residence Exemption of at least 50% at the time of the filing of this petition.

Electronic Signature *Typing your name below will serve as your signature

Petitioner or Attorney/Authorized Representative’s Signature: 

Thomas K. Dillon

/s/

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