Dunn.pdf

Sandra Dunn, Petitioner V County Of Leelanau, Respondent · 26-000278-TT

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GRETCHEN WHITMER 

GOVERNOR 

STATE OF MICHIGAN 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

RECEIVED 

FEB 04 2026 

MICHIGAN TAX TRIBUN 

WARN BROWN, DPA 

DIRECTOR 

LANSING 

PROPERTY TAX APPEAL PETITION FORM 

PRINCIPAL RESIDENCE EXEMPTION / QUALIFIED AGRICULTURAL EXEMPTION 

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. 

Last 

Section 1: Petitioner’s Contact Information 

First Name 5 

M.I 

lame/Company Name 

andy 

un A. 

City areal 

[rg - 

1 ny 

E-mail - (do not enter unless you 

want MTT to send all correspondence via e-mail) 

Dans form 4A (@) gel 

. Cov 

EE xn Street,.P.0. 

val 

o Pe 

State 

< 

| ZIP Code 

ii 

| 

Mh | "75 

elephone 

Nui 

er. 

Ls 

$3 

-(230147 

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

First Name 

M.IL 

Last Name 

Firm Name (if any) 

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

City or Town 

State 

ZIP Code 

Telephone Number 

Email Address (do not enter unless you want MTT to send all correspondence via email) 

Section 3: Subject Pro| 

erty Information =use the multiple parcel form for additional, contiguous parcels. 

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

J ves 

[I no 

How many parcels are you 

appealing? 

*If No, you must file separate appeals for each parcel 

Parcel Identification Number: 

Classification of Property: 

Real [J 

Personal El{(check one) 

Agricultural 

1 

Commercial 

J 

Industrial 

Residential. 

Timber-Cutover [1 ~~ Developmental (J 

~~ Utility 

[J (check one) 

rr TEs, Sd [v ia

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Check which of the following you are appealing 

principal Residence Exemption 

Oa Qualified Agricultural Exemption 

Section 5: Explain the Reason for this Appeal 

Don ver d Hee trvend- 

Section 6: Jurisdictional Issues 

Indicate who denied the exemption under appeal: 

Assessor 

County Treasurer or Equalization 

Michigan Dept. of Treasury 

Board of Review 

Other 

If you checked “other” above, explain: 

ERER-YA 

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

2044 

T 

Fee Information 

A filing fee of $25.00 is required unless the property has a Principal Residence Exemption of at least 50% for all tax years at issue on the 

date this petition is filed. 

Tax year(s) denied: 

Si an ature *required

LIT, 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PAPER FILING INSTRUCTIONS FOR 

PRINCIPAL RESIDENCE/QUALIFIED AGRICULTURAL EXEMPTION APPEAL 

Follow these instructions for completing this Small Claims petition form. 

For questions 

that are not answered by these instructions, please visit the Tribunal’'s website at 

www .michigan.gov/taxtrib or contact the Tribunal at 517-335-9760. 

Mail the completed form to: 

Michigan Tax Tribunal 

611 W. Ottawa St., Lansing, M1 48933 

U.S. Postal Mailing Address: PO BOX 30232, Lansing, Mi 48909 

Other Carriers (UPS, FedEx, DHL): 

2nd Floor MTT, 2407 N. Grand River Avenue, Lansing, MI 48906 

Section 1: Petitioner's Contact Information: “Petitioner” is the person, business, or 

entity filing the appeal. 

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

Petitioner does not have to be represented by an attorney or authorized representative 

to file an appeal with the Tribunal. 

If Petitioner is represented, provide all contact 

information for the attorney or authorized representative. 

If Petitioner elects to have an 

attorney or authorized representative, only the attorney or authorized representative will 

receive notices and other documents from the Tribunal. 

IMPORTANT: 

If the contact information for Petitioner or Petitioner's attorney or 

authorized representative, if listed, includes an email address, the Tribunal will use that 

email address to electronically serve all future notices and documents issued by the 

Tribunal. Once an email address is provided, a request to opt out of electronic service 

must be made in writing. 

Section 3: Subject Property Information: 

* 

How many parcels are you appealing: List the number of parcels being 

appealed. 

+ 

Are they contiguous or adjoining: 

If multiple parcels are being appealed, 

indicate whether they are adjoining (i.e., next to each other). 

If multiple parcels 

are being appealed and they are not adjoining, you must file a separate petition

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 1. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

» 

Does the subject property have a Principal Residence Exemption of 50% or 

more: Indicate whether the property had a principal residence exemption of 50% 

or more for all tax years at issue on the date the petition was filed. 

+ 

Taxing Authority: Provide the name of the city OR township (not both) where 

the property being appealed is located. 

Section 4: Check which of the following you are appealing: Check which exemption 

you are appealing. 

Section 5: Explain the Reason for this Appeal: 

Explain the reason(s) for the appeal. 

Section 6: Jurisdictional Issues: 

+ 

Indicate who denied the exemption under appeal: Indicate which entity issued 

the denial that you are appealing. Check only one. 

+ 

If you checked “other” above, explain: If you selected “other” above, describe 

the action that prompted this appeal. 

o 

List the date the Principal Residence Exemption or Qualified Agricultural 

Exemption was denied: Provide the date listed on the denial notice. 

+ 

List the tax year(s) denied: Identify the tax years for which the exemption was 

denied. 

Fee Information: A fee of $25.00 is required unless the property being appealed has a 

principal residence exemption of 50% or more for all tax years at issue on the date the 

petition is filed. Make the check payable to State of Michigan. 

If filing multiple petitions, note that a separate payment (i.e., check, money order, or 

other draft payment) must be made for each individual petition. 

Signature: 

If Petitioner is unrepresented, Petitioner must sign the petition form. 

If an 

attorney or other authorized representative is identified in Section 2 of the petition form, 

the petition form must be signed by that representative and not petitioner. 

REMINDERS: 

Pursuant to TTR 279, a copy of the Board of Review decision or other notice

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

The Tribunal will send a notice of hearing to the parties no less than 45 days in advance 

of the hearing. 

To check the status of your appeal, visit our website at www.michigan.gov/taxtrib and 

click on the "Docket Search” option.

Michigan Department of 

Treasury Principal Residence 

Exemption Guidelines

TABLE OF CONTENTS 

Chapter 1: Background Information 

Chapter 2: Ownership Requirement 

Individual Ownership 

Life Estate & Life Lease 

Owns or is Purchasing a Dwelling on Leased Land 

Owned by a Business Entity {e.g., LLC, Corporation, Trust) 

Grantor of Trust 

Beneficiary of a Trust/Will 

& Intestate Succession 

Land Contract Purchaser 

Corrective Deed 

Chapter 3: Occupancy Requirement 

Determining Occupancy as a Principal Residence 

General Occupancy Scenarios 

Retaining a Principal Residence Exemption While Absent 

Active Duty Military 

Nursing Home/Assisted Living Facility and Convalescing 

Dwelling is Demolished 

Chapter 4: Statutory Disqualifying Factors

1. If a person owned and occupied a new principal residence on or before June 

November 1 and timely filed a Principal Residence Exemption ( (PRE) Affidavit 

( Ragm 

2368), he or she is entitled to a principal residence exemption for that year" s summer 

“and/or winter taxes. Whengpggeon: 

n “timely” rescinds the principal residence exemption 

on an old property, it will no 

take effect until December 31% of the Spat the rescission is 

filed. As a result, the “timely” 

resci ded principal residence exemption will remain on 

the property for thy 

th 

ar the new claim for a a principal residence exemption 

Ga 

and granted. 

In addition, MCL 211.7cc(5) allows an owner to retain a principal residence exemption 

on property previously exempt as that owner's principal residence for up to three years 

if that property is not occupied, is for sale, is not leased, and is not used for any business 

or commercial purpose by “timely” filing a Conditional Rescission of Principal Residence 

Exemption (Form 4640) and that person has filed a new Principal Residence Exemption 

Affidavit (Form 2368) for eligible property in Michigan. 

See Chapter 5 to learn more about a rescission of a principal residence exemption. See Chapter 

8 to learn more about a conditional rescission of a principal residence exemption. 

74. 

When may a married couple receive two principal residence exemptions in Michigan? 

A married couple “may” receive two principal residence exemptions in Michigan if all the 

following apply: 

1. 

Each are owners of the property they claim to be their principal residence; 

Each claim a separate principal residence exemption on the property they allege to be 

their principal residence; 

Each occupy as their principal residence, the property they allege to be their principal 

residence; 

Each file separate state and federal tax returns; and

CHAPTER 4: DISQUALIFYING FACTORS 

Even if a person owned and occupied a property as his or her principal residence, he or she may 

not be eligible for the principal residence exemption if the following disqualifying factors listed 

in MCL 211.7cc(2) and MCL 211.7cc(3) apply: 

1. 

A person may only claim one principal residence exemption. 

2. 

A married couple who are required to or who do file joint Michigan income tax returns are 

entitled to only one principal residence exemption. 

3. 

That person has claimed a substantially similar exemption, deduction, or credit on property 

in another state. 

4. 

That person or his or her spouse owns property in a state other than this state for which 

that person or his or her spouse claims an exemption, deduction, or credit substantially 

similar to the exemption provided under this section, unless that person and his or her 

spouse file separate income tax returns. 

5. 

That person has filed a nonresident Michigan income tax return, except active duty military 

personnel stationed in this state with his or her principal residence in this state. 

6. 

That person has filed an income tax return in a state other than this state as a resident, 

except active duty military personnel stationed in this state with his or her principal 

residence in this state. 

CLAIMING TWO PRINCIPAL RESIDENCES IN MICHIGAN 

72. 

Chris owns Blue Acre in Houghton Lake, Michigan and Red Acre in Lansing, Michigan. 

Can Chris claim a principal residence exemption on Blue Acre and Red Acre? 

No. A person is entitled to only one principal residence exemption. Chris can only claim the 

principal residence exemption on the property that he owns and is occupying as his principal 

residence.

Michigan Department of Treasury 

4075 (Rev. 08-23) 

County 

Notice of Denial of Principal Residence Exemption 

Issued under authority of Public Act 206 of 1893. 

With this notice, you are notified that the Principal Residence Exemption on the property identified below has been denied. 

If you have 

questions about the denial, you may contact your County Treasurer or Equalization Director, or follow the appeal procedures specified 

below. For more information regarding the Principal Residence Exemption (PRE), please review the PRE guidelines at www.michigan. 

gov/pre. 

Type or print in blue or black ink. 

PART 1: PROPERTY INFORMATION Type or print legibly. Use a separate form for each property number. 

1. Property Tax Identification Number 

2. Name of Local Unit (Check Township or City)| 

3. County 

45-004-340-207-00 

an ELMWOOD 

LEELANAU 

4. Street Address 

of Property (Provide a Complete Address) 

12831 S SYLVIA ST TRAVERSE CITY MI 49684 

5. Name of Owner (First, Middle, Last) 

6. Owner's Last Four Digits of Social Security Number | 7. Owner's Daytime Telephone Number 

SANDRA M DUNN TRUST 

XXX-XX- 

- 

8. Name of Co-Owner (First, Middle, Last) 

9. Co-Owner's Last Four Digits of Social Security Number | 10. Co-Owner's Daytime Telephone Number 

XXX-XX- 

- 

11. Mailing address if different than property address (street or RR#, city, state, ZIP Code) 

12924 S REGAL ST TRAVERSE CITY MI 49684 

12. Your exemption was denied/adjusted for the following reason: 

] 

a. The owner is not a Michigan resident. 

J b. The property claimed is not the owner's principal residence. 

] c. The person claiming the exemption is not the owner. 

] d. The person claiming the exemption, claimed or was granted, a substantially similar exemption in another state. 

[Je other. RECEIVED 2 EXEMPTIONS FOR 2024 

13. Claim Denied for Calendar Year(s): 

14. Percentage Adjusted to: 

(see instructions) 2024 

00 

PART 2: CERTIFICATION 

15. Name of the County Treasurer or Equalization Director (Print or Type) 

JOHN A GALLAGHER lI 

ignature of County 

Treasurer me Director 

County Treasurer 

17. Date 

\/ TL 

[] Equalization Director 

| | 22] zé 

Umber bf County Treasurer or Equalization Director 

27 E GOVERNMENT CENTER DR SUTTONS BAY MI 49682 (231) 256-9838 

19. Email Address of County Treasurer or Equalization Director

Michigan Department of Treasury 

4813 (Rev. 03-18) 

Assessor's Affidavit to Waive Principal Residence Exemption (PRE) Denial Interest 

Issued under authority of Public Act 206 of 1893. 

The assessor shall not submit this affidavit if there is no assessor error that would justify waiver of the interest. This Affidavit 

must be completed and certified by the assessor and all of the appropriate documents must be attached in order for the Department 

of Treasury (Treasury) to consider waiving interest on a corrected or supplemental tax bill. 

Treasury is not required to waive interest. 

Treasury will consider interest waivers only for errors detailed in Subsection 8 of MCL 211.7cc. Use a separate form for each property tax 

identification number. 

PART 1: PROPERTY INFORMATION — Attach a copy of the letter from the property owner requesting the waiver. 

Property Tax Identification Number 

45-004-340-207-00 

Street Address 

County 

12831 S SYLVIA ST TRAVERSE CITY MI 

LEELANAU 

Township or City Name (Check appropriate box, write in name) 

ZIP Code 

Township 

Il] City 

49684 

Owner's Complete Name (First, Middle, Last) 

Owner's Daytime Telephone Number 

SANDRA M DUNN TRUST 

Co-owner's Complete Name (First, Middle, Last) 

Co-owner's Daytime Telephone Number 

Mailing Address 

City 

State 

ZIP Code 

12924 S REGAL ST 

TRAVERSE CITY 

Mi 

49684 

PART 2: ERROR INFORMATION — Please indicate one or more of the following. 

Check the box below that correlates with the type of error that allows interest to be waived under MCL 211.7cc(8). 

O Assessor's Classification Error 

X Assessor's Failure to Rescind after the taxpayer requested, in writing, that the exemption be removed 

7] Other Error. Explain the error here (use additional sheets if necessary) 

PART 3: REQUIRED DOCUMENTATION: PRE DENIAL AND INTEREST INFORMATION 

Important: A letter from the property owner to the assessor requesting a waiver of interest is required. In addition, copies of the denial notice, 

corrected or supplemental tax bill(s), supporting documents and any other relevant information must accompany this Affidavit. 

Failure to 

thoroughly complete this Affidavit or provide adequate supporting documentation will result in the denial of the waiver request. 

Treasury 

reserves the right to deny any request for a waiver of interest on any tax set forth in a corrected or supplemental tax bill(s). 

id Copy of the Denial 

J Copy of the Corrected/Supplemental Tax Bill 

| Letter from property owner 

Total interest amount: 

Dany other Supporting Documentation

4813, Page 2 

PART 5: CERTIFICATION 

| attest that the corrected or supplemental tax bill for Principal Residence Exemption interest that | am requesting the Department of Treasury waive is 

the result of an assessor's error. 

| certify, under penalty of perjury, that the information provided on this Affidavit and in the attached documents is true 

and correct to the best of my knowledge. 

Current Assessor's “BH 

pe; 

Certification Level a 

zie Number 

PPALA 

 JDroes 

2% 

MAA 

Current Assessor's 7 nature 

Date 

= 

A Aa 

— 

prof Lindam 

Ad 

Thane 

Cy M; PAE] 

E-mail Addross 

2 2) 

; 

2 

PART 6: NOTARIZATION 

ch 

Subscribed and sworn before me this 

£ 9 

day of 

Jan [Aare 

20 2/7, 

Coma ~m Shit 

Conn -M Ene ston 

, Notary Public 

State of Michigan, County of 

Lomi Nall 

My Commission Expires: 

/0 

= yi 2 026 

Acting in the County of: 

[ e—lan dU. 

Mail completed Affidavit and all required decumentation to: 

Michigan Department of Treasury 

PRE Unit 

P.O. Box 30440 

Lansing, MI 48909 

Failure to complete the affidavit and provide the required documentation will result in delays in processing or a denial of the request.

‘Michigan Department of Treasury 

County 

4075 (Rev. 08-23) 

Notice of Denial of Principal Residence Exemption 

Op 

Issued under authority of Public Act 206 of 1893. 

With this notice, you are notified that the Principal Residence Exemption on the property identified below has been denied. 

If you have 

questions about the denial, you may contact your County Treasurer or Equalization Director, or follow the appeal procedures specified 

below. For more information regarding the Principal Residence Exemption (PRE), please review the PRE guidelines at www.michigan. 

gov/pre. 

Type or print in blue or black ink. 

PART 1: PROPERTY INFORMATION Type or print legibly. Use a separate form for each property number. 

1. 

Property Tax Identification Number 

2. Name of Local Unit (Check Township or City)| 

3 County 

45-004-340-207-00 

BJ Sums"? EL MWOOD 

LEELANAU 

4. 

Street Address of Property (Provide a Complete Address) 

12831 S SYLVIA ST TRAVERSE CITY MI 49684 

5. Name of Owner (Firsl, Middle, Last) 

6. Owner's Last Four Digits of Social Security Number | 

7. Owner's Daytime Telephone Number 

SANDRA M DUNN TRUST 

XXX-XX- 

- 

8. Name of Co-Owner (First, Middle, Last) 

9. Co-Owner's Last Four Digits of Social Security Number | 10. Co-Owner’s Daytime Telephone Number 

XXX-XX- 

a 

11. 

Mailing address if different than property address (street or RR#. city, stale. ZIP Code) 

12924 S REGAL ST TRAVERSE CITY MI 49684 

12. Your exemption was denied/adjusted for the following reason: 

OJ a. The owner is not a Michigan resident. 

0) b. The property claimed is not the owner's principal residence. 

0 c. The person claiming the exemption is not the owner. 

OJ d. The person claiming the exemption, claimed or was granted, a substantially similar exemption in another state. 

[Je omer. RECEIVED 2 EXEMPTIONS FOR 2024 

13. Claim Denied for Calendar Year(s) 

14. Percentage Adjusted to: 

(see instructions) 2024 

0 % 

PART 2: CERTIFICATION 

15. Name of the County Treasurer or Equalization Director (Print or Type) 

JOHN A GALLAGHER lI 

ignature of Copnty 

Treasyrer or 

Equalization Director 

X County Treasurer 

17. Date 

\ TL 

0 Equalization Director 

| 22] zé 

mbar pf County Tre&surer or Equalization Director 

27 E GOVERNMENT CENTER DR SUTTONS BAY MI 49682 (231) 256-9838 

19. Email Address of County Treasurer or Equalization Director

; 

« 

; 

1 

Michigan Department 

of Treasury 

02/13/2024 

04220 

PM 

2602 (Rev. 04-19) 

ASSESSOR'S DATE 

STAMP 

Request to Rescind Principal Residence Exemption (PRE) 

issued under authority of Public Act 206 of 1893. 

This form must be filed with the assessor for the city or township where the property is located. This address may 

be on your most recent tax bill or assessment notice. For more Information regarding the PRE, please review the 

PRE guidelines a www.michigan.gov/pre. 

Type or Print 

in blue or black ink. 

AF 

0) 

1: PFROPERT) 

ds 

roperty Tax Identification Number 

45-004-340-207-00 

Tmstle 

EL MWOOD TOWNSHIP 

LEELANAU 

4. Street Address of Property (Provide a Complete Address) 

12831 

S SYLVIA ST 

5. Name of Owner (First, Middle, Last) 

6.- Owners: Last Four Digits of Social Security Numbar: 

7: Owner's Daytime Telephone Nimber:: 

DUNN SANDRA M TRUST 

XXX 

22 (L304 

8. Name of Co-Owner (First, Middle, Last) 

9. Co-Owner's Last 

Four 

Digits of 

Social Security Number 

10. Co-Owner's Daytime Telephone Number 

XXX-XX 

= 

11. 

| am'réscinding this Principal Residence Exemption claimed for this property. because. (check appropriate box(es) below): 

[| 

a. 

lam no longer the owner of the propeity. 

1 own the property, but 

| no longer occupy the property as my principal residence. 

| have converted the property to rental property. 

I have converted the property to commercial property. 

Other: 

® 

a ov 

12. 

if the portion of the property in line 1 that you own and occupy as your principal 

residence has changed, enter the new percentage Mere... 

cress 

12 

% 

13. 

Effective date of the change fisted in either 11 or 12... 

sri 

13. 

4 

| 

A O 

14. This rescission applies to: 

[} 

a. Owner and Co-Owner as fisted in boxes 5 and 8 above. 

[I] 

b. Owner only, as listed in box 5 above. 

0 

©. Co-Owner only, as listed in box 8 above. 

15a. New Owner's Name 

15b. New Co-Owner's Name 

Certification: _ { certify under penalty of perjury the informalion confeed on this document is true and correct fo the best of my knowledge. 

16. ne 

tative: 

fl 

> 

Date 

” 

pn 

oe 

’ 

—_ 

ny 

NP 

2-202 

17.Co-Owners-Signature/Represgniative 

Date

$1,800 

12831 S Sylvia St 

12831 S Sylvia St, Traverse City, Mi 40684 

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| 1Bath 

| Available Now 

Managed by BHHS Michigan Real Estate Tamara Yomastek 

Overview 

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pe 

Michigan Department of Treasury 

2368 (Rev. 04-13) 

Principal Residence Exemption (PRE) Affidavit 

tssued under authority of Public Act 206 of 1893. 

Read the instructions page before completing the form. Completion of this Affidavit constitutes a claim for a Principal Residence Exemption 

(PRE) when filed with the local assessor of the city or township where the property is located. The deadline to file the Affidavit for taxes levied 

after December 31, 2011, is June 

1 for the summer tax levy and November 1 for the winter tax levy. A Request to Rescind Principal Residence 

Exemption (PRE) (Form 2602) or a Conditional Rescission of Principal Residence Exemption (PRE) (Form 4640) must be filed with the local 

assassor for any previous claims, This forms not valid unless certified by the assessor. Do not submit this form if the property is not occupied by 

the owner as a principal residence. 

Type or print in blue or black ink. Use a separate form for each properly tax identification pumber. 

PART 1: PROPERTY INFORMATION 

: 

REHEIE 

» 4. Properly Tax identification Number 

» 2. ZIP Code 

45 -004-340- 207- 00 

49684 

¥ 3. Street Address of Property 

4. Name of Township or Village 

Rl Township 

5. County 

12831 S Sylvia Street 

Township of Elmwood 

Ciciy 

Leelanau 

»8. 

3/7/2016 

6. Date the property In lina 1, above, became your principal teSIdeN0e ...cc..m minis 

Month 

Day 

Year 

The property.in fine 1 above is my: 

» 8a. 

BX Principal residence 

» 6b. [lUnoceapied adjoining or confjgioug property that 

i is dassified residential or imber-cutover. 

+ 7. 

Name 

of 

Owner 

(First, Middle, Last 

+ 8. 

wnsns 

Sacial 

Sana Bus 

! 

SURITT 

» 9. Name of Co-Owner (First, Middle, Last) 

¥ 40. Co-Ovmer's Social Security Nyfuber 

11. Property owner's daytime telephone number 

12. Listthe percentage (100% to 1%) of the property that is occupied by the owner claiming the property as a 

principal residence. If the property has miore than one home on it, itis a multi-dwelling, used for purposes other 

than a principal residence, or partially rented, the owner may claim only a gariial exemption. Read. the instruction 

/i 0 O 

page attached to determine the percentage of the exemption the owner is allowed to claim In these situations... 

» 12. 

N 

% 

13. 

fd 

ves 

[Ino 

14. 

[ves 

[Jno 

15. Do you or your spouse claim a similar exemption, credit or deduction on property fogated in another state?:........ 

18. 

Yes 

No 

13. Have you claimed a principal residence exemption for another Michigan principal residence? 

14. 

If yes, have you rescinded that principal’ residence exemption? 

16. Have you or your spouse Tiled a tdx return as 

a nori:resident of Michigan or resident of another state? 

PART 2; CERTIFICATION 

ification: [ certify under penalty of, perjury thé information conlained or this document is true-and correct to the best of my knowletlgs. 

nabs Signatu 

Tate 

17a. Co-Guner's Signature 

Date 

. 

AM 

3/7/2016 

. 

3/7/2016 

17b. -a Address, if Different thie Property Address Above 

18. 

Closing Agent or Preparer's Name and Maifing Address 

Corporate Seflement Solutions, Traverea City 

414 E. Front Street 

Traverse City, MI 49686 

49, Was an exemption in place prior to" Hifi davit being fi fied? ran 

20. What is the first year this exemption will be posted to the tax Cols? oer 

iinnenn

Michigan Department of Treasury 

ASSESSOR'S DATE STAMP 

2 te 07-22) 

[Os (@] 

Principal Residence Exemption (PRE) Affidavit 

a Py 

Issued under authority of Public Act 206 of 1893. 

Read the instructions page before completing the form. This form must be filed 

the assessor for the city or 

township where the property is located. DO NOT SUBMIT THIS FORM IF THE PROPERTY IS NOT YOUR 

PRINCIPAL RESIDENCE AND/OR ANY OF THE DISQUALIFYING FACTORS APPLY 

AS LISTED IN MCL 211.7 

(CC). For information regarding the PRE, please review the PRE Guidelines at 

www.michigan.gov/pre. 

Fe 20 yy 

Type or Print in blue or black ink. 

Part 1: Property Information 

Type or print legibly. Use a separate form for each property tax identification number. 

1. Property tax identification number 

2. Name of Local Unit (Check Township or City) 

3. County 

45-004-340-220-00 

[] Township [] Cly 

~~ ELMWOOD TOWNSHIP 

LEELANAU 

4. Street Address of Property (Provide a Complete Address) 

12924 S REGAL ST 

5. Name of Owner (First, Middle, Last) 

6. Owner's Last, 

Teri 

ial Security Number 

7. Owner's gy Telephone Number 

DUNN SANDRA M TRUST 

XXX-XX- 

221 

330614 7 

8. Name of Cc-Owner's (First, Middle, Last) 

9. Co-Owner's Last Four Digits of Social Security Number | 10. Co-Owner's Daytime Telephone Number 

XXX-XX- 

11. Date you owned and occupied the property in ine 1... 

1. Wain 

{ 

Ay 

. 

Month 

D 

Ye 

The property in line 1above is my: 

11a. 

G1 

Principal residence 

bo he 

1 

) > 

7, 

y 4 

' 

= 

is 

: 

’ 

- 

NRA) 

ALL 

Jf 

11b. 

 [] 

Unoccupied adjoining or contiguous property that is classified residential or timber-catover. 

12. List the percentage (100% to 1%) of the property that is occupied by the owner claiming the property as a 

principal residence. 

If the property has more than one home on it, 

it is a multi-dwelling, 

used for purposes other than a 

principal residence, or partially rented, the owner may claim only a partial exemption. Please consult with your local 

assessor to determine the pecentage of the exemption the owner is allowed to claim in these situations... 

2. 

0% 

13. 

Have you or your spouse claimed a principal residence exemption for another Michigan principal residence?............ 

13. 

Yes 

B. No 

: 14. 

If yes to 13 enter the address and parcel number 

15. 

If yes to 13, have you rescinded that principal residence eXemption?............cc.vvvuimmiimimiesiiis ssi 

15. 

| Yes 

J 

No 

16. 

Do you or your spouse claim a similar exemption, credit or deduction on property located in another state?......... 

16. 

d Yes 

&. No 

17. 

If yes to 16 enter the address and parcel number 

18. 

Have you or your spouse filed a tax return as a non-residence of Michigan or a resident of another state....... 

18. 

J Yes 

XK] 

No 

19. 

If yes to 18, enter state 

NJ 

7 

PART 2: CERTIFICATION 

Certification: | certify under penalty of perjury that! own and occupy as a principal residence on the date stated in Line 11 and that | have not claimed a substantially similar 

exemption/dedtiction/credit in property in another state, and that the information contained on this document is true and correct to the best of my knowledge. 

21. Co-OunePs Signature 

Date 

/ 

20. Owner's Signature 

Date 

aA 

oo 

2-20-24

ES 

or

L 

: 

ISNADIT EIA

STATE OF MICHIGAN 

JOCELYN BENSON, SECRETARY OF STATE 

DEPARTMENT OF STATE 

LANSING 

Issued: 

02-20-2024 

SANDRA MARIE DUNN 

TRAVERSE CITY MI 49684-5346 

VOTER REGISTRATION RECEIPT 

Please save this receipt. 

Congratulations, you are going to be registered to vote! Your Clerk will make sure you are eligible and mail 

you a voter card. Prepare to vote and get answers to your questions by visiting Michigan.gov/Vote. Your 

registration application will be kept confidential and will be used only for voter registration purposes. 

Sex 

Female 

County 

LEELANAU 

Voter 

ELMWOOD TOWNSHIP 

Jurisdiction 

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