Full record / 02._Property_Tax_Appeal_Petition_Form_Principal_Residence_Qualified_Agricultural_Exemption.4e089133-4cf0-4c9c-9ec1-f237fd13c844.pdf

02._Property_Tax_Appeal_Petition_Form_Principal_Residence_Qualified_Agricultural_Exemption.4e089133-4cf0-4c9c-9ec1-f237fd13c844.pdf

Cristobal Flores-Monterrosas, Petitioner V Michigan Department Of Treasury, Respondent · 25-003093-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

Cristobal

M.I.

Last Name/Company Name

Flores-Monterrosas

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

877 South Payne Lake Road

City or Town

Wayland

State

Michigan

ZIP Code

49348

Telephone Number

6168210954

Fax Number

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

diazpatty13@yahoo.com

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

First Name

Cristobal

M.I.

Last Name

Flores Monterosas

Firm Name (if any)

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

877 S Payne Lake RD

City or Town

Wayland

State

Michigan

ZIP Code

49348

Telephone Number

616-821-0954

Fax Number

E-mail Address

diazpatty13@yahoo.com

Section 3: Subject Property Information

Parcel Identification Number:

081601703630

How many parcels are you appealing?

0

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) 

877 South Payne Lake Road

Wayland

Page 2

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

Michigan

49348

Taxing Authority:

Township Of Yankee Springs (BARRY)

County:

Barry

Classification of Property:

Personal

Residential

Section 4: Check which of the following you are appealing

Principal Residence Exemption

Section 5: Explain the Reason for this Appeal

I have attached an explanation letter for appeal. I purchased a home on April 26,2021 and it has been my primary residence that date. I have never received a letter or 

an inquiry regarding my principal residence, it has always been our primary home, and we do not understand why this happen. we have all the proof that the state 

might require. School records, Payroll, Bills. please advise. we just want the opportunity to present our case. we are on the verge of losing our home.

Section 6: Jurisdictional Issues

List the year(s) denied:

2021 2022 2023

Indicate who denied the exemption under appeal:

Department of Treasury 

If you checked “other” above, explain:

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

2021 2022 2023

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: 

Cristobal Flores-Monterrosas

/s/

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