Birch PRE denial form received March 6, 2026.pdf

Page 1

Michigan Department of Treasury 

- 

PM 

2742 (Rev. 08-23) 

Local (City/Township) 

ASSESSOR'S DATE STAMP 

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 local government 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 

15-012-129-005-50 

Be 

CHARLEVOIX 

4. 

Streetaddress of property (Provide a Complete Address) 

31153 CAMP NUMBER THREE TRL 

5. 

Name of Owner (First, Middle, Last) 

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

7. 

Owner's Daytime Telephone Number 

BIRCH LAURENCE & MARY ROSE 

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- 

1. 

Mailing address if different than property address (street or RR#, city, state, Zip code) 

0 Boy 4/0, 

Beaver Islend Mm) 

49782. 

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

- 

[J 

a. The owner is not a Michigan resident. 

O 

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

[J 

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

0d The person claiming the exemption, claimed or was granted, a substantially similar exemption in another state. 

We over ASSACONT 

bod not wnocccped 

= Applicaton not granted 

13. Claim Denied for Calendar Year(s): 

14. 

Percentage Adjusted to: 

oN 

Rem 

o a» 

(see instructions) 

PART 2: CERTIFICATION 

15. Name of the 

Local Assessor (Pri TG 

ooke 

n brand7 

16. 

Signature 

of Local Assessor 

17. 

Date 

== 

>/28/5¢ 

18. Address and Telephone Number of Local Government 

Na 

| 

"G15 

7 

70 

Bok 337, Hlansm NI 

7706 

19. 

Email Address 

of Assessor 

tna 55¢55/Ng Ey mah CNN 

Homeowner's Right to Appeal 

If you disagree with this denial, you may appeal to the Residential/Small Claims Division of the Michigan Tax Tribunal within 35 

days of the denial. An appeal with the Michigan Tax Tribunal can be initiated by the timely filing of a petition. The petition must 

be a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at 

www.michigan.gov/taxtrib. You can print the Petition for Denial of Exemption for Principal Residence/Qualified Agricultural and 

mail the completed form to the Michigan Tax Tribunal at P.O.Box 30232, Lansing, Michigan 48909 or complete the form online 

and submit electronically, if provided for by the Michigan Tax Tribunal.