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04._Tax_Appeal_Petition_Form_Non-Property.0b23a14f-c573-4d71-8f3b-db2d8fd5bdce.pdf

Snf Holdings LLC / Dba Vios Compounding Pharmacy Petitioner Vs. Michigan Department Of Treasury Respondent · 26-000665-TT

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Page 1

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

TAX APPEAL PETITION FORM

NON-PROPERTY TAX

MTT DOCKET NO. 

Section 1: Petitioner’s Contact Information

Filer Type: Organization

First Name

 SNF Holdings llc / dba Vios Compounding Pharmacy

M.I.

Last Name/Company Name

SNF Holdings llc / dba Vios Compounding Pharmacy

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

31035 Schoolcraft Road

City or Town

Livonia

State

Michigan

ZIP Code

48150

Telephone Number

3139999499

Fax Number

E-mail Address

sammy@vioscompounding.com

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

First Name

Sammy

M.I.

Last Name

Salem

Firm Name (if any)

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

31035 Schoolcraft

City or Town

Livonia

State

Michigan

ZIP Code

48150

Telephone Number

313-999-9499

Fax Number

E-mail Address

sammy@vioscompounding.com

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 action taken by the 

Michigan Department of Treasury) with this Small Claims Petition, if applicable. If you do not submit this document, you may be held in default.

Page 2

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

Section 3: Explain the Reason for this Appeal

This is an appeal to be filed for R&D Tax credit filing. We now understand that the statute states that the deadline to be filed was April 1st, however at the time of 

the filing we did not. Through various attempts on March 31st and on April 1st, our CPA claims to have tried to submit, however, had technical issues. In any case, 

it was brought to my attention on April 3rd where the CPA had notified about the deadline passing. We had reached out to the treasury department and submitted 

the filing via email and the response is attached denying the submission due to being 2 days late. 

Section 4: Assessment Information

Type of Tax Being Assessed:

Assessment Number(s):

Check all that are being appealed:

Check what action prompted this appeal: (Check one)

If “other,” explain:

List the Amounts being levied:

Tax 0

Interest 0

Penalty 0

List the refund sought, if any:

44452.00

List your Contentions: 

Tax 0

Interest 0

Penalty 0

Fee Information

A fee of $100.00 is required for the filing of a Non-Property Tax Appeal.

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

Petitioner or Attorney/Authorized Representative’s Signature: 

Sammy Salem

/s/

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