Hazimen.pdf

Mohamed A Hazimeh, Petitioner V City Of Dearborn, Respondent · 25-003454-TT

← View full record

Text extracted from the reviewed PDF, organized by page. OCR and reading order may contain errors; confirm details in the PDF below.

RECEIVED 

JUL 81 2025 

rua’ 

} 

MICHIGAN TAX TRIBUNAL 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

PROPERTY TAX APPEAL PETITION FORM 

VALUATION / EXEMPTION / CLASSIFICATION APPEAL 

Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Special Assessment, or 

Non-Property tax disputes. 

Pursuant to Michigan Tax Tribunal Rule (TTR) 279, you MUST submit a copy of the notice giving rise to the appeal 

(e.g. Board of Review Decision or Notice of Uncapping) with this Small Claims Petition, if applicable. If you do not 

submit this document, you may be held in default. 

Section 1: Petitioner’s Contact Information 

{ilies oo 

io] 

“TZ IThe 7 

ailin Fy alm 

a 

ural 

Route) 

Hm rn 

1 H812(, 

Telephone nm 724) A0% SLY >) 

| 

RTE hd Z meh 

GTB Gl 

2 (@ qa [ LOM) 

Section 2: Petitioner’s SttarnegiAuthiorized Representative’ s Contact Information 

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 

How many 

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

parcelsareyou | [T] ves* 

[] No** 

appealing? 

*If yes, use a multiple parcel form for information regarding any contiguous parcels. 

| 

**|f no, you must file separate appeals for each non-contiguous or non-adjoining parcel or you will be defaulted. 

Tal) (N 

5" Send 

, City, ST, man 

[If multiple, list first property’s address)

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Issues Being Appealed (check all that apply) 

[J True Cash and Taxable Value 

Wroverts Exemption 

[J Taxable Value Only (calculation) 

[J Disabled Veterans Exemption 

O Uncapping of Taxable Value 

[J 

Eligible Manufacturing Personal Property (ESA) 

[J Exemption from Taxation (other than the denial of a 

[O Classification 

Principal Residence or Qualified Agricultural Exemption) 

Section 5: Explain the Reason for this Appeal 

lam ondlsablilify 

. have vision 1ssues and 

10ST Aish right ele due to retina detadament, 

| had akidney Transplant 

ond open heart 

Suwvaery- My 

income IS only 

#17400 djsabili 

I 

hath Bee 

on. 

ERR 

Section 6: Jurisdictional Issues 

Year(s) you iri 

Did you protest the assessment at a Board of Review (BOR)? OJ Yes 

[Hl] No 

If Yes, check which BOR you attended AND attach the BOR decision: O March 

O July 

O December 

f 

No, check the applicable reason(s): 

pli required to attend 

Assessment Change Notice was not received by Petitioner 

[] Appealing a purported Clerical Error or Mutual Mistake of Fact (if yes, include explanation in Section 5) 

[| Appealing within 35 days of State Tax Commission Order

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 

|. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 7: Valuation Information *use the multiple parcel form for additional, contiguous parcels, 

Parcel ldandifiaasil. on 

- 

{ 

Classification of Property: 

Regl 

Personal 

(check one) 

/ 

Agricultural 

Commercial 

Industrial 

Resjdeptial 

Timber-Cutover 

Developmental 

Utility 

(check one) 

Current Assessed Valye (also known as Statetqualized Value) as established by the BOR: 

Po 

CurrentT 

“ik Value as established by the BOR! 

What do you believe is the fair market value {also known as True Cash Value)? 

Multiply the True Cash Value by .5 and enter here. This is your contention of Assessed Value. 

If you believe the Taxable Value differs from your contention of Assessed Value, enter your contention of Taxable Value, 

Section 8: Classification Information *Only the MI Dep't of Treasury may appeal this issue to the Tribunal* 

Parcel Identification Number: 

Current Classification of Property as established by Board of Review: 

Real 

Personal 

(check one) 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

Developmental 

Utility 

(check one) 

What do you believe is the property’s classification? 

Real 

Personal 

(check one) 

d 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

Developmental 

Utility 

(check one) 

If improved property, how is the property currently being used? 

if improved property, for what use was the property designed?

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Fee Information 

Does the subject property have a Principal Residence Exemption of at least 50% as of the date of the filing of this petition? 

es 

O No 

Arg.you appealing ONLY the denial of a Poverty Exemption or Disabled Veterans Exemption? 

Yes 

[1] No 

If 

you answered yes to either or both of the above questions, you are not required to pay any filing fees. 

The filing fee is based on the greater of the State Equalized Value or Taxable Value in contention. 

If you are appealing more than one 

parcel, the parcel with the highest State Equalized Value or Taxable Value in contention will be used to determine your filing fee, plus 

$25.00 will be added for each additional parcel being appealed, not to exceed a total filing fee of $1,000. 

If your property is residential property (see MCL 205.762) and 

the State Equalized Value or Taxable Value in contention is: 

Filing Fee is: 

$100,000.00 and under 

$125.00 

$100,000.01 to $500,000.00 

$200.00 

$Over $500,000.00 

$300.00 

If your property is NOT residential property (see MCL 205.762) and 

the State Equalized Value or Taxable Value in contention is: 

Filing Fee is: 

$100,000.00 and under 

$250.00 

* Plus $25.00 for each additional parcel, as indicated above, 

If your property is NOT residential property and the State Equalized Value or Taxable Value in contention is $100,000.01 or greater the 

appeal does not qualify for Small Claims. Therefore, an Entire Tribunal petition must be filed, 

Signatu Ire *Reqyfred 

Petitioner or Attorne; WN Signature: 

wll 

Ze 

Pg — 

T 

CTA 

IZ

‘METROPLEX MI 48C 

28 JUL 2025 

PMS 

L 

Michigan 

Tax Tribunal 

lel! W). Hawa, St 

Lansing NM) 

48432 

48533-10704 4 

HEEL 

PR

← View full record