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Kacos.pdf

Andrew P Kacos, Petitioner V City Of Grand Rapids, Respondent · 26-000229-TT

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Page 1

RECEIVED 

ER 

JAN 16 2026 

i= 

GJ 

Aen 

MICHIGAN TAX TRIBUNAL 

, 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS ~~ 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL PETITION FORM 

POVERTY EXEMPTION 

Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Disabled Veterans 

Exemption, or other exemption disputes. 

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. 

Section 1: Petitioner’s Contact Information 

First Name 

M.L 

Last Name/Company Name 

Andrew 

P 

Kacos 

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

1506 Mason St NE 

City or Town 

State 

ZIP Code 

Grand Rapids 

Mi 

49503 

Numb: 

P78 - 7631 

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

(2 

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

MLL 

First Name 

. 

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 Property Information 

Parcel Identification Number: 

41-14-20-283002 

Property Address (No., Street) 

1506 Mason St NE 

City or Town 

County 

State 

ZIP Code 

Grand Rapids 

Kent 

Mi 

49503

Page 2

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

horLon L GROWN, DPA 

GOVERNOR 

LANSING 

Section 4: Explain the Reason for this Appeal 

My exemption was denied for missing tax information. It is enclosed here. 

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Section 5: Jurisdictional Issues 

Did you request a poverty exemption at a Board of Review (BOR)? 

Yes 

[No 

If Yes, check which BOR you attended: [] March 

[] July 

December 

If No, please explain: 

Date the BOR decision was issued: 

12/12/2025 

Tax year(s) dented 

105 

Fee Information 

There is no fee required for the filing of a poverty exemption appeal. 

Signature *requiced—, 

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Page 3

Michigan Department of Treasury 

4988 (05-12) 

Poverty Exemption Affidavit 

This form is issued under authority of Public Act 206 of 1893; MCL 211.7u. 

INSTRUCTIONS: When completed, this document must accompany a taxpayer's Application for Poverty Exemption filed 

with the supervisor or the board of review of the local unit where the property is located. MCL 211.7u provides for a whole 

or partial property tax exemption on the principal residence of an owner of the property by reason of poverty and the 

inability to contribute toward the public charges. MCL 211.7u(2)(b) requires proof of eligibility for the exemption be provided 

to the board of review by supplying copies of federal and state income tax returns for all persons residing in the principal 

residence, including property tax credit returns, or by filing an affidavit for all persons residing in the residence who were not 

required to file federal or state income tax returns for the current or preceding tax year. 

, a. 

CoS” 

, swear and affirm by my signature below that 

| 

reside in the principal residence that is the subject of this Application for Poverty Exemption and that 

for the current tax year and the preceding tax year, 

| was not required to file a federal or state income 

tax return. 

Address of Principal Residence: __ 

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Mason 

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Signature gf Person Making Affidavit 

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Page 4

E 1 0 40 

Department of the Treasury —Intemal Revenue Service 

£ 

U.S. Individual Income Tax Return 

2024 OMB No. 1545-0074 | (RS Use Only—Da not write 

or staplo in this space. 

For the year Jan. 1-Dec. 31, 2024, or other tax year beginning 

. 2024, ending 

,20 

See separate instructions. 

is first name and middle initial 

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Check here if you, or your 

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Check only 

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one box. 

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if you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child's name if the 

qualifying person is a child but not your dependent: 

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[J it treating a nonresident alien or dual-status alien spouse as a U.S. resident for the entire tax year, check the box and enter 

their nama (see instructions and attach statement if required): 

Digital 

At any time during 2024; did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, 

Assets 

exchange, or otherwise dispose of a digital asset {or a financiatinterest in a digital asset)? (See instructions.) 

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Standard 

Someone can claim: 

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{1 Your spouse as a dependent 

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Age/Blindness You: [] Were bom before January 2, 1960 

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Dependents (see instructions): 

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number 

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Page 5

Form 1040 (2024) 

Taxand 

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Tax (see instructions). Check if any from Form(s): 

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Amount of line 34 you want refunded to you. if Form 8888 is attached, check here 

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Amount of fine 34 you want applied to your 2025 estimated tax 

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Subtract line 33 from line 24. This is the amount you owe, 

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For details on how to pay, go to www.irs.gov/Payments or see instructions 

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Estimated tax penalty (see instructions) 

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Third Party 

Do you want to allow another person to discuss this return with the IRS? See 

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Designee 

Instructions... 

LL 

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TTT 

[J Yes. Complete below. 

Kno 

Designee’s 

Phone 

Personal identification 

name 

no. 

number (PIN) 

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Sign 

Under penalties of perjury, | declare that | have examined this retum and accompanying schedules and statements, and to the best of my knowledge and 

Here 

belief, they are true, comect, and complete. Declaration of preparer (other than taxpayer} is based on all information of which preparer has any knowledge. 

our signature 

Date 

Your occupation 

: 

If the IRS sent you an Identity 

Protection PIN, enter it here 

Joint return? 

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pi 

(seeinst). 

See instructions, 

use's signature, If a dint return, both must sign. 

| Date 

Spouse's occupation 

If the IRS sent your spouse an 

Keep a copy for 

identity Protection PIN, enter it here 

i 

your records. 

{see inst) 

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Phore no. 

Email address 

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Preparers name 

Preparer’s signature 

Date 

PTIN 

Check if: 

Paid 

Pre parer 

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Use Only 

Firm S name 

Phone no. 

Firm's address 

Firm's EIN 

Go to www.irs.gov/Form1040 for instructions and the latest information, 

Form 1040 (2024)

Page 6

Michigan Department of Treasury (Rev. 04-24), Page 1 of 3 

Reggrn is dug April 15, 2025. Type or print in-blue or biack ink, 

“issued under authorlty of Public Act 281 of 1967, as amended. 

2024 MICHIGAN individual Income Tax Return Mi-1040 

Amended Return 

[1] 

(Include Schedule AMD) 

1.[Eiker's 

First Name 

Pp 

“Rre 

2, Filar's Full Social Security No {Fyamnle; 23-45-6789) 

ou) 

Mi. 

|Last Name 

Tf a Jot 

Return, Spouse's First Name 

| 

3::Spouse’s Full Social Security No. (Example: 423:45-6769) 

. Box) 

© 

Ton =U oe 

Troms 1% 4 “4 or P.O. 

iA 

City or , @ ) 

7, School District Code {5 digits) 

[0/0 

Code, 

503 

5. 

STATE CAMPAIGN FUND 

hE 

‘Check if you {and/or your spouse, if 

filling a joint return) want $3 of your taxes 

* 

10 go'to this fund. This will not increase 

your faxgr reduce your refund. 

a: 

J ser 

b. A Spouse 

6. FARMERS; FISHERMEN, OR SEAFARERS 

] Check 

fishing, 

this box If 2/3 of your income is from farming, 

or seafaring. 

7. 

a. 

8. 

2024 

FILING STATUS. Check one. 

Single 

a. 

b.[] Married filing jointly 

if you check box °c, *.complete 

fine 3 and enter: ‘spouse 's full name 

below: 

bo. 

‘e. oO Maified filing separately 

2024 

RES 

Resident 

©: =] “Part-Year Resident * 

ESIDENCY STATUS. Check all that apply. 

*If you check box “b” or 

=,” you must complete 

and include Schedule” 

NR. 

Nonresident * 

9. 

EXEMPTIONS. NOTE: If someone else can claim you ag a dependent, check box ge, enter 0 on line 9a and enter $1,500 on line 9¢ (se insir.). 

a. Number of exemptions (see SE 

— SSRTURTYOIVTON RUDE 

Qa. 

| 

x: 

$5,600 

9a. 

S TD 

90 

b. Number 

of individuals who qualify forone.of theJdollowing special exemptions: deaf, 

blind, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled 

9b. 

( 

x 

$3,300 

9b 

2L3cD 

00. 

¢.” 

Number of qualified disabled VBIETANS 

1 avvvveeerariscssesisssaessasssssssisssnsanisprssssssnasens 

9c. 

x 

$500. 

9c. 

00 

d. Number 

of Ceti cates of Sillbirth from MDHHS (see insructons). JRO 

od, 

X 

95,000 

9d. 

00 

e. 

Claimed as dependent, see line 

9 NOTE ABOVE crvavassesssrressssmsmsssesssessossesssissses 

Ye. CO 

ge, 

_ 

00 

f. 

Add lines 9a, ob, 06, 0d and Oe. Enter here and ON NE 15 immerses 

fs 

of; 

R40 

Q0 

10. 

Adjusted Gross Income from your U.S. Form 1040 (see TRASITUCHONS) -cvesressssmsssosrasmonsssssnsiserssassssyastissss 

10. 

\o47 

00 

11. 

Additions from Schedule 1, line 9. Include Schedule FE RA 

11. 

- 

00 

Ps 

Total. Addtines 10 and 14... 

: 

12. 

1 47 

00 

13. 

 Subtractions from Schedule 1, line 31. include SCNEAUIE 1 corureeerercrcerreeremrsseseessessismsam 

sss esses 

sereens 

13. 

— 

00 

( b 41 

00

Page 7

2024 MI11040, Page 2 of 3 

) 

— 

- 

Fiter’s Full Social Security Number 

- 

NON-REFUNDABLE CREDITS 

3 

AMOUNT 

= 

£ CREDIT: 

ek] 

18." 

Income Tax Imposed by government units outside Michigan. 

: 

Ha 

AL 

al 

: 

Include a copy of the return. (see INStrUCtions)...cuuecusrinnereerens 

18a, 

: 

00} 

18b. 

. 

‘ 

00 

19. 

Michigan Historic Preservation Tax. Credit: (see instructions). 

19a, 

- 

. 

00} 

19b. 

00 

20. 

“income Tax. Subtract the sum.of lines 18b and 19b from line 17. 

: 

SUE 

fel 

) 

20: 

Qo 

ifthe sum of fines 18b and 19b is greater than line 17, enter “0”... 

: 21. 

Voluntary Contributions from For 4642; line 6. Include Form 4642................ 

21] 

Coe 

00 

22. 

Penalty for nonqualified withdrawal from Form 5792, Michigan First-Time Home Buyer Savings 

+ 

Program, line 5 

k 

R 

erent 

besser aet ates essen 

ses bene 

ae 

L222 

) 

00 

- 23, 

USE TAX. Use tax due on Internet, mall order or other out-of-state purchases from’ 

: 

; 

Worksheet 1 (see instructions)................ foresees 

sits essen 

pans 

rasta rsesersssssimsessinsssssoenssasserenns 

23. 

J 

{00 

24. 

Total Tax Liability. Add fines 20 through 23 EE 

SN 

24; 

00 

i 

2 

7 20 

og 

_ 

© REFUNDABLE CREDITS AND PAYMENTS 

25. 

Property Tax Credit, Include Mi-1040CR or MITO40CR-2.........onccecrie 

ees eeceeeeemrssssssnss 

26. 

Farmland Preservation Tax Credit. include MI-1040CR-5 

26. 

x 

00 

. 

yo 

. 

FEDERAL 

MICHIGAN 

27. 

Earied Income Tax Credit. Multiply ne 27a by 30% (0.30) 

: 

i 

: 

: 

© 

And.eNMer ESUIt ON NG 27h. ..cvvor everson eee 

27a, 

.s 

004} 

. .:.27b: 

00 

-28. 

Michigan Historic Preservation Tax Credit (refundable). Include Form 3481............ 

28 

i 

00 

"29. 

Credit for allocated share of tax paid by an electing flow-through entity (see instructions)........coveeeermnnn.n. 

: 28. 

) 

5 

00 

30. Michigan tax withheid from Schedule W, line 6. Include Schedule W (do not submit W-2s)................. 

30. 

i 

[44] 

31. 

Estimated tax, extension payments and 2023 credit forward 

31 

00 

32. 2024 AMENDED RETURNS ONLY. Taxpayers completing an original 2024 return should skip to line’ 33, 

© 

© 

- Amended returns must include Schedule AMD (see instructions). 

- 

- 

if you had a refund and/or credit forward on the original return, check box 32a and enter this amountas a 

32a. 

negative number 

on line 32¢. 

: 

1 

If you paid with the originaf return, check box.32b and enter the amount.pald with the original return; plus 

32b. 

any additional tax pald after filing, as a positive number on line 320, Do not include Interest or penalty. 

32¢. 

00 

33. 

} 

j 

1 AD. 

00 

© 

83. 

Total refundable credits and ‘payments. Add lines 25, 26, 27b, 28, 29, 30, 31 and 32¢c...

Page 8

2024 WMI-1040, Page 30f 3 

. 

Fller's Full Social Security Number 

[4 

= 

REFUND OR TAX DUE 

34. 

if fine 33 is less than line 24, subtract line 33 from line 24. If applicable, ses instructions. 

Include interest 

00] 

and penalty 

00 

YOU OWE 

34. 

a0 

35. 

- Overpayment, If ling 33 is greater than ling 24, subtract line 24 from line 33. 

35. 

9) 20 

00 

36. 

Credit Forward. Amount of line 35 tobe credited to your 2025 estimated tax for your 2025 tax return ...___36. 

00 

37. 

SUbACt 16 36 TOM HN 3B. errnrvmssmsrrsssrstcsnssssnsins eres 

eer ...REFUND 

37. 

7 20 

00 

DIRECT DEPOSIT 

a. Routing Transit Number 

: 

b. Account Number 

| 

c. Type of Account 

Deposit your refund directly to your financial 

3 

institution! See instructions and complete a, b 

: 

. 

and. 

’ 

. 

J 

[ chesng 

~~ 2. [savings 

Deceased Taxpayer. if Filer andior Spouse died after December 34, 2023, enter dates below. |Preparer Certification. 

/ declare under penalty of perjury that 

ENTER DATE OF DEATH ONLY. Example: 04-15-2024 (MM-DD-YYYY) 

this retum Is based on all information of which 1 have any knowledge, 

B 

Preparer's PTiN, FEIN or SSN 

Filer 

-_ 

-_ 

Spouse, 

_— 

-— 

Taxpayer Certification. /dsciare under penalty of perjury that the information in this return 

Preparer’s Name (print or typo) 

and 

gdechments is true and comglete fo the pest of my§nowledge. 

CY 

”) 

4 

A 

Date 

Preparer's Signature 

Ii] bey 

1g 

i) 

: 

t 

Spouse's Signature 

Date 

Preparer's Businass Name, Address and Telephone Number 

™ By checking this box, 

| authorize Treasury to discuss my return with my preparer. 

Refund, credit, or zero returns. Mail your return to: 

Michigan Department of Treasury, Lansing, Ml 48956 

Pay amount on line 34 (see instructions). Mail your check and return to: Michigan Department of Treasury, Lansing, Mi 48929

Page 9

Michigan Departinent of Treasury (Rel; 05-24), Page 10f3 

b 

: 

; 

. 

Amended Return [] 

2024 MICHIGAN Homestead Property Tax Credit Claim MI-1040CR 

issued under authority of FublicAct 281.0f 1967, as amended. 

P 

i 

Tyo) r print in blue or black ink. 

Attachment 05 

1. 

Riter\s 

First Name 

EY ) 

Last 

e 

’ 

2. Filer's Full Social Security: No. {Examble: 123:45-6769) 

ter) 

P|" 

Rgeos 

| 

Tf a JointReturn, Spouse's First Name. 

BES 

Last Name 

N 

3, Spouse's 

Full ‘Social Security No; (Example: 4123:45-6789) 

‘Home 3 (Number; Street, P.O. Box), \f using a P.O. Box, you must complete line 45. 

‘Do 

an ==. 

PIE 

_ 

— 

City oplown 

. 

, 

+ 

]'Stalg 

FES 

a, Scnoo) Dist 

ode (| 

digits) 

Gp. 

we 

03 

BE” 

5. Check the box(es) for which you: OF your Spouse qualify. (excluding dependents). If you qualify. for both, see instructions. 

a. [EE Age 65 or.0lder; oran unremarried:spouse of a person 

b. C1 Deaf, blind, hemiplegic, paraplegic, quadriplegic, or 

' 

: 

who was 65 orolder athe time of death. 

i 

totally-and permanently disabled. 

; 

6. 2024 FILING STATUS: 

7.2024 RESIDENCY STATUS: 

“If you checked box %c." enter dates of Michigen residencyin 2024. 

'Chegkone. 

Enter dates as MM-DDYYYY. (Example: 04-15-2024), 

a. 

Single 

a. 

b. [| Married fiing jointly 

b.[_] Nonresident 

FROM: 

— 2024 

c (I Married filing separately. 

| © (I Part-Year Resident * 

70: 

— 

20 

— 

— 2024 

(Include Form 5049) 

8. Homestead Status 

. 

. 

. 

: 

da 

Check here if the {axable value of your homestead includes unoccupied farmland classified as agricultural by your local assessor: 

h 

9, 

‘Homeowners: Enter the 2024 taxable value of your homestead (see instiiictions). if you did not 

check box 8:above and your taxable value is greater than $160,700, STOP; you are not eligible. 

Zz 4 

A 

Farmers: enter the taxable value of your homestead; including eligible unoccupied farmland SEA SQ. 

ol 

00 

10. Property taxes levied on your home for 2024 (see instructions) or amount from ling 81: 56:and/or 57. 

40 

l 73 

001. 

11. 

Renters: Enter rent you paid for 2024 from line 53:andlor85 iii. PEE 

LE 

00 

“42. 

Multiply line 14 by 23% PO) W— [ST — 

00]: 

43. Total, Add lines 10:and 12 cis AUTISTIC 

TOTAL HOUSEHOLD RESOURCES. if filing-a joint return, include income from both spouses. 

\f married filing separately, you must include Form £5049. 

- 

: 

13. 

UZ3 

lw 

14. 

Wages, salaries, tips, sick, strike 

24: Social Seculity: sSlyandior 

and SUB pay, el. .iwumeemmerre 

. 

14) 

00 

railroad retirement penefits.... 

21: 

| 2 <l L 

00. 

15. 

Allinterest and dividend income 

= 

22.Child:support and foster 

- 

(including nontaxable interest)... 

15 

00 

parent payments... 

22 

00 

16. Netbusiness income (including net 

} 

23. Unemployment 

: 

16. 

00) 

Compensation. cs ders 

23. 

00

Page 10

29. 

Enter subtotal from ling 28............. eveane 

30. 

Other adjustments (see instructions), 

Describe; 

: 

: 

30 

00 

~-31 

Medical insurance/HMO premiums you paid for you and your famity 

) 

(BO IMSHUCHONS) corms 

31 

00 

32. 

a ER — 

i 

732, 

; 

oof 

33 

Subfract line 32 from line. 29. 

: 

i Hern 

38, 

| 4c 5 

00 

34. 

Multiply line 33 by:3.2% (0.082) or by the Percent in Table 2 (see instructions). if negative; enter 0" 

34. 

q C3 

00 

35. 

Subtract line 34-from line 13.and enter the amount here: If line 34 is greater than line 13; enter “0” 

20 

and STOP; you are not ONGIDIE 

10 HIS CIE. ; 

.ee 

35, 

“a1 

[11] 

PART 1: ALLOWABLE COMPUTATION Complete one of the sections below, either 

A, B, or ¢ (see instructions). 

SECTION A: SENIOR CLAIMANTS (if you checked only box 5a) 

*36. 

Enter amount from line 35 

=o 

36. 

0p 

37. 

: 

- 

38. 

Multiply line 36 by line 37: Enter amount here and.on line 42 (maximum $1,800): 

38: 

00 

“SECTION B: DISABLED CLAIMANTS (if you checked only box 5b; or both boxes 5a and 5b) 

+39." 

Enter amount from fine 35 here.and on line 42 (maximum $1 1800) wii 

nin i RENT, ERT 

39; 

. 720 

wl 

: 

00 

41. 

Multiply amount on line 40 by. 60% (0:60). Enter amount here and on line 42 (maximum $1,800)... 

41. 

00) 

PART 2: PROPERTY TAX CREDIT CALCULATION All filers must complete this section. 

42 

Enter amount from line 38,:39 or 41; 

or from Worksheet 4 (see instructions) for FIPIMDHHS 

recipients. 

43. 

Percentage from Tabl 

n 

t 

i 

E 

: 

Foi 

ae 

I 

ei 

al 43, 

| lo 

; 

44. 

PROPERTY TAX CREDIT; Multiply amount on line 42.by Percentage on line 43: Enter amount here 

: 

and if you file an MI-1040; carry this amount to MI-1040; line 25...

Page 11

2024 MI-1040CR, Page 30f3 

Filer's Full Social Security Number 

1 

a 

EOWNERS WHO MOVED IN 2024. Rep 

the addresses of the homesteads for which you 

PART 3: HOM 

ort on fines 45 and 46 

are claiming 

& credit. Homesteads with a taxable value 

reater than $160,700 are not eligible for this credit. 

45, Address where you Tived on December 31, 2024, if different than reported on line 7 (Number, Street, Cily, State, ZIP. Code). 

Taxable Value 

00 

26. Address of homestead sold {moved from) during 2024 {Number, Streat, City, State, ZIP Code). 

Taxable Value 

: 

= 

HOMESTEAD. 

Homeowners who moved during 2024, complete lines 47 through 51. 

A. Moved Into 

B. Moved From 

47. Number of days occupied (total cannot be more than 366)...cc0neree 

48. Divide line 47 by 366 and enter percentage here 

. 

% 

% 

49, Property taxes levied for calendar year 2024. 

Q0 

00 

50. Prorated property taxes. Multiply line 49 by the percentages on line 48 

. 

00 

Qo 

51. Taxes eligible for credit. Add fine 50, columns Aand B. Enter here and on ICR [UR 

51. 

00 

PART 4: RENTERS. if you received subsidized rental assistance, only enter the amount you paid. 

[52 

A 

B 

c 

D 

E 

Address of Homestead You Rented 

Landowner's Name and Address 

# Months 

Monthly 

. 

(Number, Street, Apt. #, CIty, State, ZIP Code) 

(City, State and ZIP Code) 

Rented 

Rent 

Total Rent Paid 

00 

00 

: 

00 

00; 

"53." 

Total rent you paid (not more than 12 months). Add total rent for each period. Enter here and on fine ji Jo— 

53. 

00}. 

PART 5: ALTERNATE HOUSING FACILITIES (see instructions) 

. 

. 

54. 

If you lived in one of these types of facilities for ali or part of 2024, check the appropriate box and see instructions. 

a. OO Subsidized Housing: complete line 55. Enter result online 11. 

b. [| Service Fee Housing: complete lines 55 and 56. 

55, 

Enterthe total rent you paid in 2024 while a resident of an Alternate Housing Facility. Do not include 

amounts paid on your behalf by a government AGENCY wucnrrsrisssesesinss 

[TRB ATR 

55. 

00 

. 

56. 

Ifyou checked box 54b, multiply line 55 by 10% (0.10) (see instructions). Enter here and on line 10.... 

56. 

00 

57. 

Special Housing: if you lived in one of these types of facilities for all or part of 2024, check the appropriate box 

(see, instructions). 

a. 

Cooperative 

Cc. ™ Nursing Home 

Housing 

b. [| Home for the Aged 

e 

from the type of facility 

x a Paid Room and Board 

d. Od Adult Foster Care Home 

checked on 

Enter your prorated share of taxes 

line 57 here.and on line 10. 

ol 

| 

od 

58. Name and Address {including City, State and ZIP Code) of Housing Factlity, Landowner, OF Care Facility if you completed Ii nos 54 through 57. 

b. Account Number 

DIRECT DEPOSIT 

. 

Deposit your. refund directly to your financial 

institution! See instructions and complete 

a, Routing Transit Number 

1. — Checking 

— 

Savings 

¢. Type of Account 

2. 

paisa 

b and. 

) 

- 

Preparer Certification. ! decial 

Deceased Taxpayer. 

if Filer and/or Spouse died after December 31, 2023, enter dates below. 

re under penalty of perjury thal 

NTER DATE OF DEATH ONLY. Example: 04-15-2024 (MM-DD-YYYY) 

ihis return is based on all Information of which 1 have any knowledge. 

Preparers PTIN, FEIN of SSN

Page 12

CITY 

ASSESSOR 

CITY OF GRAND RAPIDS 

CT 

December 12, 2025 

KACOS ANDREW P 

1506 MASON ST NE 

GRAND RAPIDS, MI 

49503 

RE: 

December Board of Review Change Notice 

411420283 002 

1506 MASON ST NE 

Dear Property Owner: 

On December 9, 2025, the December Board of Review made the following decision regarding 

your application for Poverty Exemption for 2025. 

PETITION #: POV_018 

ORIGINAL ASSESSED VALUE 

REVISED ASSESSED VALUE 

88,600 

88,600 

ORIGINAL TAXABLE VALUE 

REVISED TAXABLE VALUE 

35,904 

35,904 

DECISION: DENY POVERTY EXEMPTION 

The City of Grand Rapids Treasurer will process any adjustments to the 2025 tax statement. 

Please allow a minimum of 30 days for the adjustments to take effect. 

The action of the December Board of Review may be appealed to the Michigan Tax Tribunal 

within 35 days of the date of this.notice. To appeal to the Michigan Tax Tribunal, download a 

petition from their website: wwiy.michigan.gov/taxtiib or send a letter requesting a petition to: 

Michigan Tax Tribunal - P.O. Box 30232 - Lansing, MI 48909 

If you have any questions regarding the above changes please do not hesitate to contact us at

Page 13

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