26-001393.pdf

Andrea R Harmon Petitioner V City Of Muskegon Respondent · 26-001393-TT

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MUSKEGON COUNTY 

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RECEIVED 

4 

Michigan Tax Tribunal 

JUN 22 2026 

PO Box 30232 

, 

Lansing MI 48909 

MICHIGAN TAX TRIBUNAL 

June 17, 2026 

RE: 

MTT 26-001393 

Dear Tribunal 

Please see the enclosed documentation for the above-mentioned Small Claims case: 

e 

Property Tax Appeal Poverty Exemption Answer Form 

e 

Copy of Assessment Notice 

e 

Copy of March Board of Review Notice 

e 

Property Record Card and sketches 

e 

March Board of Review Petition 

e 

City of Muskegon Poverty Exemption Application 

e 

Proof of Service 

These documents are filed in compliance with the Notice of Docket Number issued by the 

MTT on May 26, 2026. 

If you have any questions, please contact me at 231-724-3473. 

Sincere NY, 

Muskegon County Equalization 

Wesley Dault 

MAAO 

Senior Appraiser 

cc: Andrea Harmon, Petitioner

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

GOVERNOR 

STATE OF MICHIGAN 

LANSING 

MARLON |. BROWN, DPA 

DIRECTOR 

PROPERTY TAX APPEAL ANSWER FORM 

POVERTY EXEMPTION 

MTT DOCKET NO. 26001393 

Section 1: Respondent’s Contact Information 

Unit of Government 

City of Muskegon 

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

933 Terrace St 

City or Town: 

State: 

ZIP Code: 

Muskegon 

Mi 

49440 

Te 

031 724 6386 

Emall Address (do not enter unless you want MTT to send ail correspondence via emait): 

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

First Name: 

Wesley 

Last Name: 

Dauit 

Firm Name {if any): Muskegon County Equalization 

Mailing Address {No., Street, P.Q. Box or Rural Route): 

173 E Apple Ave Ste 201 

City or Town: 

State: 

ZIP Code: 

Muskegon 

MI 

149442 

Telephone NmEeri oy 3 4 724 6386 

Email Address {do not enter unless you want MTT to send ali correspondence via email): 

Section 3: Subject Property Information 

Parcel Identification Number: 

61 24 205 397 0004 00 

Section 4: Explain Your Answer to this Appeal 

Petitioner applied for a poverty exemption at the 2026 March Board of Review. Board

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 5: Jurisdictional Issues 

Did Petitioner request a Poverty Exemption at a Board of Review (BOR)? 

HB Yes 

[J No 

If yes, check which BOR Petitioner attended: 

March 

[OJ July 

[3 December 

Date the BOR decision was issued: 3/1 8/2 026 

Tax year(s) denied: 2 02 6 

Signature required 

Respondent or 

Attorneyiuthorized Representative’s Signature: 

7 

- 

BY 

wo 

S 

7

ame Sh gaent of Treasury. 

THIS 

IS NOT A TAX BILL 

L-4400 

Notice of Assessment, Taxable Valuation, and Property Classification 

This form is issued under the authority of Public Act 206 of 1893, Sec. 211.24 and Sec.211.34c, as amended. This is a model assessment notice to be used by the local assessor. 

FROM CITY OF MUSKEGON 

PARCEL IDENTIFICATION 

MUSKEGON COUNTY EQUALIZATION 

PARCEL NUMBER: 

24-205-397-0004-00 

173 E APPLE AVE SUITE 201 

PROPERTY ADDRESS: 

MUSKEGON MI 49442 

1341 4TH ST 

MUSKEGON, Mi 49441 

SCHOOL DISTRICT CODE: 

~~ 61010 

OWNER'S NAME & ADDRESS/PERSON NAMED ON ASSESSMENT ROLL: 

EXEMPTIONS 

on ANDREA R 

% Exempt As "Homeowners Principal Residence": 

100.00% 

MUSKEGON Mi 

4 

% Exempt 

As "Qualified Agricultural Property”: 

00% 

1 

49441 

% Exempt As "MBT Industrial Personal”: 

00% 

% Exempt As "MBT Commercial Personal’: 

00% 

Exempt As "Disabled Veteran or Surviving 

Spouse”; 

[J Yes 

No 

Exempt 

As “Qualified Forest Property": 

0 Yes 

No 

Exempt 

As “Development Property": 

[7 Yes 

No 

LEGAL DESCRIPTION: 

CITY OF MUSKEGON 

REVISED PLAT OF 1903 

LOT 4 BLK 397 

ACCORDING TO MCL. 211.34c THIS PROPERTY IS CLASSIFIED AS: 

401 

Residential 

PRIOR YEAR'S CLASSIFICATION IF DIFFERENT: 

401 

Residential 

The change in taxable value will increase/decrease your tax bill 

PRIOR AMOUNT 

CURRENT TENTATIVE 

HONE Rom 

for the 2026 

year by approximately: $38 

YEAR: 

205 

AMOUNTYEAR: 6 

CURRENT YEAR 

1. TAXABLE VALUE: 

32,761 

33,645 

884 

2. ASSESSED VALUE: 

93,600 

109,400 

15,800 

3. TENTATIVE EQUALIZATION FACTOR: 

1.000 

4. STATE EQUALIZED VALUE (SEV): 

93,600 

109,400 

16,800 

5. WAS THERE 

A TRANSFER OF OWNERSHIP IN2025 

THAT RESULTED IN A TAXABLE VALUE UNCAPPING? [ves 

No 

6. Assessor Change Reason(s): 

Market Adjustment 

The 2026 inflation rate Multiplier is: 1.027 

Questions regarding the Notice of Assessment, Taxable Valuation, and Property Classification may be directed to the Following: 

Name: 

Telephone Number: 

Email Address: 

DONNA VANDERVRIES 

(231) 724-6726 

DAULTWE@CO.MUSKEGON.MLUS 

March Board of Review Appeal Information. The Board of Review will meet at the following dates and times:

06/17/2026 09:55 

AM 

2026 BOARD OF REVIEW DECISION 

FROM 

CITY OF MUSKEGON 

MUSKEGON COUNTY EQUALIZATION 

173 E APPLE AVE SUITE 201 

MUSKEGON MI 49442 

NAME AND ADDRESS OF OWNER OR PERSON NAMED ON ASSESSMENT ROLL: 

PROPERTY IDENTIFICATION: (Parcel Code required. Property address 

and legal description optional.): 

24-205-397-0004-00 

HARMON ANDREA R 

1341 4TH ST 

1341 4TH ST 

MUSKEGON MI 4944 { 

THIS PROPERTY IS CLASSIFIED 

401 

(RESIDENTIAL-IMPROVED) 

Thank you for attending this years March Board of Review. The Board has reviewed the information you supplied and the data necessary 

to compute your assessment and taxable value. 

The Board has completed their review of parcel number 

24-205-397-0004-00 

They have made the following determination based on the information you supplied. 

Board of Review Comments 

2026 POVERTY EXEMPTION DENIED- OVER INCOME GUIDELINES 

[2026 ORIGINAL ASSESSED VALUE 

109,400 

| 2026 "BOARD OF REVIEW" ASSESSED VALUE 

109,400 

| 

(If the above amounts are the same, no revisions have occured) 

2026 ORIGINAL TAXABLE VALUE 

33,645 

2026 "BOARD OF REVIEW” TAXABLE VALUE 

33,645 

2026 PRINCIPAL RESIDENCE EXEMPTION/QUALIFIED AG 

100.0000 

Please feel free to contact the assessor at the address listed above or call if you have any questions, 

231-724-6386 

If you disagree with the decision of the Board of Review, further appeal may be made to the Michigan Tax Tribunal by May 31 for 

Commercial Real, Industrial Real, Developmental Real, Commercial Personal, Industrial Personal and Utility Personal Property by July 31 

for Agricultural Real, Residential Real, Timber - Cut Over Real, and Agricultural Personal Property. Effective March 1, 2013 the Tribunal 

is no longer able to accept Small Claims letter appeals. Rather, you are required to file a petition to initiate a new appeal. Petition forms are 

available on the State's website at: http:/Avww.michigan.gov/taxtrib/0,4677,7-187-38254---,00.htm!

Parcel Number: 

24-205-397-0004~00 

Jurisdiction: 

CITY OF MUSKEGON 

County: 

MUSKEGON 

Pri

Grantor 

Grantee 

Sale 

Sale 

Inst. 

Terms 

of Sale 

Liber 

Price 

Date 

Type 

& 

Page 

MORTGAGE ELECTRONIC REGIS 

|HARMON ANDREA 

R 

01 

01/21/2008 

[OTH 

21-NOT USED/OTHER 

3767/744 

HARMON ANDREA 

R 

MORTGAGE ELECTRONIC REGIS 

59,801{ 

01/04/2008 

|OTH 

21-NOT USED/OTHER 

3766/042 

HANNAH RUTH ESTATE 

HARMON ANDREA 

R 

69,900¢{ 

10/13/2006 

[WD 

03-ARM'S 

LENGTH 

3717/983 

Property Address 

Class: 

RESIDENTIAL-IMPRO 

|Zoning: 

FBC-U 

[Building 

Permit (s) 

Date 

1341 

4TH 

ST 

School: 

MUSKEGON CITY SCHOOL 

DIST 

PLUMBING 

10/31/2017 

P.R.E. 

100% 

11/16/2006 

Hist.Dist: 

X 

[ELECTRICAL 

09/28/2017 

Owner's Name/Address 

MAD #: 24-31-30-282-017 

BUILDING 

01/24/2017 

oREA R 

2027 Est TCV Tentative (5,600 MCL 211.|Res. Existing Furnace Circ | 01/28/2016 

MUSKEGON MI 

49441 

X 

[Improved 

[ 

[Vacant 

Land Value Estimates 

for Land Table R07.1.R07.1 NELSO

Public 

* Factors 

* 

Improvements 

Description 

Frontage 

Depth 

Front 

Depth 

Rate 

$Ad

— 

EET TY 

<Site Value B> TYPICAL .13-.29 

9500 

100 

Tax Description 

Gravel Road 

56 Actual Front Feet, 

0.17 Total Acres 

Total Es

CITY OF MUSKEGON 

X 

|paved Road 

REVISED PLAT 

OF 

1903 

LOT 

4 BLK 397 

X 

|Storm Sewer 

Land Improvement Cost Estimates 

Comments/ Influences 

X 

|Sidewalk 

Description 

Rate 

X 

[Water 

D/W/P: 

3.5 Concrete 

6.22 

X 

Sewer 

Total Estimated Land Improvements Tru

X 

|Electric 

X 

(Gas 

Work Description 

for Permit PP170257, 

Issued 10/31/20

X 

|Cuxb 

THE LAUNDRY 

Street Lights 

Work Description 

for Permit PE170802, 

Issued 09/28/20

Standard Utilities 

UPGRADE 

Underground Utils. 

Work Description 

for 

Permit PB170041, 

Issued 01/24/20

~ UFACTOR 

.30 

T 

h 

£f 

oyoography © 

Work Description for Permit PE160057, Issued 01/28/20

{NOTE 

TO INSPECTOR, 

PLEASE CALL LARRY 

IF NEEDED) 

CALL

X 

|Level 

INSPECTION 736-0155 

Rolling 

Work Description for Permit BD-01-5389, 

Issued 06/01/

Low 

DWELLING 

High 

X 

(Landscaped 

Swamp 

Wooded 

Pond 

Waterfront 

Ravine 

Wetland 

, 

Flood Plain 

Year 

Land 

Building 

Assessed 

Value 

Value 

Value 

F 

Who 

When 

What 

2027 

Tentative 

Tentative 

Tentative 

: 

J 

Wl 

|7ME 10/05/2017 INSPECTED 

[2026 

4,800 

104,600 

109,400 

he Equalizer. 

Copyright 

(c) 

1999 

- 2009.|1E 

10/16/2017 INSPECTED 

5635 

7,100 

89,500 

53,600 

Licensed 

To: 

County 

of Muskegon, 

Michigan 

MLR 04/28/2015 

DESK REVIE 

| 

y 

’ 

2024 

3,300 

73,600 

76,900 

*** 

Information herein deemed reliable 

but 

not guaranteed***

Parcel 

Number: 

24-205-397-0004-00, 

Land Image 

Sketch by Apex Sketch 

*** Information herein deemed reliable but not guaranteed***

Residential Building 

1 

of 

1 

Parcel 

Number: 

24-205-397-0004~00 

Print

Building Type 

(3) 

Roof 

(cont.) 

(11) 

Heating/Cooling 

(15) 

Built-ins 

(15) 

Fireplaces 

(16) 

Porch

X 

[Single Family 

Eavestrough 

X 

[Gas 

0il 

Elec. 

Appliance Allow. 

Interior 

1 Story 

|Area|Type 

Mobile Home 

Insulation 

Wood 

Coal 

Steam 

Cook Top 

Interior 

2 Story 

5olccs 

Town Home 

0|Front Overhang 

FRY 

Dishwasher 

2nd/Same 

Stack 

Duplex 

0|Other Overhang 

Force 

Air w/o Ducts 

Garbage Disposal 

Two Sided 

A-Frame 

Forced Air 

w/ 

Ducts 

Bath Heater 

X 

|Wood 

Frame 

{4) 

Interior 

Building Style: 

2 

STORY 

X 

[Paneled 

Drywall 

|X 

|Plaster 

Wood T&G 

Yr Built 

|Remodeled 

1900 

[4 

Trim 

& Decoration 

[Ex [%]ozd 

i 

[iin 

Condition: 

Average 

Size 

of Closets 

[te [¥]oxd 

| 

[Small 

Forced Hot Water 

Electric Baseboard 

Elec. 

Ceil. 

Radiant 

Radiant 

(in-floor) 

Electric Wall Heat 

Space 

Heater 

Wall/Floor Furnace 

Forced Heat 

& 

Cool 

Heat 

Pump 

No Heating/Cooling 

Vent 

Fan 

Hot Tub 

Unvented Hood 

Vented Hood 

Intercom 

Jacuzzi 

Tub 

Jacuzzi repl.Tub 

Oven 

Microwave 

Standard Range 

Exterior 

1 Story 

Exterior 

2 

Story 

Prefab 

1 Story 

Prefab 

2 

Story 

Heat Circulator 

Raised Hearth 

Wood Stove 

Direct-Vented 

Ga 

Class: 

CD 

Effec. 

Age: 

50 

Floor Area: 

2,450 

Room List 

Boors| 

~|Selid|XA-C. 

pemtral Mir 

Self Clean Range |p co) Base New 

: 201,837 

Total 

Depr Cost: 

145,966 

1|Basement 

(5) 

Floors 

+ 

Trash Compactor 

: 

’ 

4ilst Floor 

i 

(12) 

Electric 

Central Vacuum 

Estimated T.C.V: 

222,452 

4|2nd Floor 

Kitchen: Linoteun 

100]Amps Service 

Security System 

er: 

OL 

LWOO 

- 

4|Bedrooms 

Other: Carpeted 

No./Qual. 

of Fixtures 

| Cost Est. 

for Res. 

Bldg: 

1 

Single Family 

2 STORY 

(1) 

Exterior 

[Ex. 

[X]oxd. 

[Min 

au 

heating System: Forced Air 

w/ uses 

or 

X |Wood/Shingle 

(6) 

Ceilings 

round 

Area 

= 

F 

oor Area 

= 

. 

Aluminum/Vinyl 

No. 

of Elec. Outlets 

Phy/Ab. Phy/Func/Econ/Comb. 

§ Good=50/100/100/100/50 

Brick 

X |Plaster 

[Many [X ave. 

[ 

[Few 

Building Areas 

(137 

Plumbing 

Stories 

Exterior 

Foundation 

Size 

X 

[Insulation 

. 

1.5 

Story 

Siding 

Basement 

525 

- 

TE 

> 

Average Fixture(s) 

| 2 story 

Siding 

Basement 

824 

(2) 

Windows 

(7) 

Excavation 

1 

|3 Fixture Bath 

1 Story 

Siding 

overhang 

6 

Many 

Large 

Basement: 

1349 

S.F. 

1 

|2 Fixture Bath 

1 Story 

siding 

Overhang 

8 

xX 

|avg. 

X 

|avg. 

Crawl: 

0 

S.F. 

Softener, 

Auto 

Total: 

Few 

Small 

| Slab: 

0 

S.F. 

Sottener, Manual 

| other Additions/Adjustments 

Height 

to Joists: 

0.0 

Solar Water Heat 

Plumbing 

x food Sash 

No Plumbing 

2 Fixture Bath 

1 

Vinyl 

Sash 

(8) 

Basement 

Extra Toilet 

Porches 

Ponble Hung 

Conc. 

Block 

Bxtra nk 

CCP 

(1 story) 

80 

; 

: 

: 

eparate 

Shower 

Foundation: 

Shallow 

80 

Horiz. 

Slide 

poured Conc. 

Ceramic Tile 

Floor 

Garages 

one 

G1 

T oe 

4 Hood 

Ceramic Tile Wains | class: 

CD Exterior: 

Siding Foundation: 

42 Inch 

(Unfin

cape 

ass 

reared 

Moo 

Ceramic Tub Alcove | 

Base Cost 

418 

Patio Doors 

Concrete Flooz 

Vent Fan 

Common Wall: 

1 Wall 

1 

X 

[Storms 

& Screens 

{2) 

Basement Finish 

TT 

Water Sever 

Water/Sewer 

(3) 

Roof 

Recreation 

SF 

q 

Public Water 

1 

sos 

1 

[Public Water 

N 

¥ 

Gable 

Gambrel 

Living 

SE 

17 

[Public Sewer 

Public Sewer 

otal 

: 

Hip 

Mansard 

Nalxous Poors [P) 

Water Well 

Not 

otals: 

Flat 

Shed 

No 

Floor 

5 

otes: 

| 

Halkout Doors 

(a)| 

[3000 Sar Septic 

ECF (RO7.1 NELSON GENERAL RESIDENTIAL) 

1.

X 

{Asphalt Shingle 

{107 

Floor Support 

2 

eptic 

Lump 

Sum Items: 

~ 

- 

+ 

Joists: 

Chimney: 

Brick 

Unsupported Len: 

Cntr. 

Sup: 

*** Information herein deemed reliable but not guaranteed***

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*** 

Information herein deemed reliable 

but 

not guaranteed***

Ham Seer 

Mes 

Petition to Board of Review 

L-4035 

This form is Issued under the authority of P.A. 206 of 1893, as amended. Filing is voluntary, however, you may not appeal to the Michigan Tax Tribunal unless you first protest to the 

Board of Review, except when the property is classified as commercial real, industrial real, or developmental real. You may not appeal property classifications to the State Tax 

Coaymission unless you first protest to the Bard of Review. 

JE COMPLETED BY OWNER OR OWNER'S AGENT 

Owner's Name (Please Print or Type) 

Petitioner's Name {If Other than Owner. Please Print 

or Type} 

HARMON ANDREA R 

. 

Township or City 

County 

Year of Appeal 

CITY OF MUSKEGON 

MUSKEGON 

aody 

The undersigned protests the assessed value and/or the tentative taxable value and/or the property classification andfor the qualified agricultural property exemption of 

the following described property: 

Property Identified (Parcel code required. Properly address and legal description optional) 

© 

24-205-397-0004-00 

CITY OF MUSKEGON REVISED PLAT OF 1903 LOT 4 BLK 397 

1341 4TH ST 

Protested Item 

[J] Assessed Value 

[] 

Tentative 

§ 

Taxable Status 

[] 

Classification 

[J] 

Qualifed Agricultural 

Taxable Value 

(exemption) 

Property Exemption 

Complete this section for a protest of assessed value, including assessed value changes associated with exempt status and denied or late filed personal 

properly forms. 

Assessed Value 

Owner's Estimate of True Cash Value(Market Value) 

109,400 

Complete this section for a priest of Taxable Value 

Za 

. 

son: 

[0 

value of Losses 

[J 

value of Additions 

R_Poverty Exemption 

[1 

Uncapping 

% 

3..PROTEST.OF CL'ASSIEICATIO 

Complete this section for a request to change the classification. 

Michigan Compiled Laws. The Board of Review shall not be influenced by the effect that a particular classification has on that property's status as a homeowner's principal residence 

or qualified agricultural property. 

Classification of property on this year's assessment roll: 

40 1 

Classification should be: (Please check one of the following) 

OO 

Agricultural 

[J Industrial 

[CI imber Cutover 

[J utility (Personal Property Only) 

[J commercial 

[1 Residential 

[Developmental 

4/PROTEST OF EXEMPTION FOR QUALIFIED AGRICULTURAL PROPERT 

If the assessor has denied or changed the percentage of the exemption from the 18 mills of focal school operafing tax for qualifies 

ag cultural property, the 

owner may appeal this action to the March Board of Review. THE BOARD OF REVIEW HAS NO AUTHORITY TO CONSIDER OR ACT UPON THE 

EXEMPTION FROM THE 18 SCHOOL OPERATING MILLS FOR HOMEOWNER'S PRINCIPAL RESIDENCE PROPERTIES. 

Percent qualified agricultural exemption requested by Owner: (Enter 100 if full 

Percent qualified agricultural exemption granted by assessor: (Enter 0 if exemption is denied) 

exerption requested) 

‘REASON FOR PROTEST 

State reason(s) for protest of assessed value and/or the tentative taxable value and/or taxable status and/or classification and/or quali 

ied agricltural properly exemption.

Form 618, Page 2 

FOR BOARD OF REVIEW USE ONLY 

INSTRUCTIONS: Incorporate a copy of this form and the assigned number in the Board of Review minutes. 

Petition Number 

Parcel Code 

r 

24-205-397-0004-00 

M 

4: ASSESSED 

VALUE 

Disposition by Board of Re 

ie 

Board of Review must state the reason for ts action below. 

by Denied 

0 

Assessed Value Changed From: 

[ 

109,400 Ire: 

| iq HO0) 

| 

Record of Vole - Board or three member committee of board 

Chairperson: Eves 

[0 no 

yy 3B 

Member: 

ves 

J no 

Member: 

[] Yes 

[J] nC 

Initials 

Initials 

Initiaf; 

N 

Reason for Board Action: 

POVERTY DENIED 

IF you disagree with the decision of the Board of Review regarding tentative assessed value, you may appeal that decision by filing a petition with the Michigan Tax Tribunal at 

PO Box 30232, Lansing MI 48909. Commercial Real, Industrial Real, Developmental Real, Commercial Personal, Industrial Personal and Utiiity Personal Properly may be 

appealed by May 31. Agricultural Real, Residential Real, Timber - Cut Over Real, and Agricultural Personal Property may be appealed by July 31. The petition must be filed on 

a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at www. michigan.govitaxirib. 

A 

ALL 

: 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

. 

a 

Denied 

[0 

Tentative Taxable Vaiue Ghanged From: 

33.645 

To 

3 3 lo ys 

(See attached L-4035A) 

Record of Vote - Board or three member committe of board. 

-— 

Chairperson: [ZX ves 

OO 

no 

fa 

Member: 

[WYes 

[7] 

no 

Member: 

[J ves 

[Jn 

Initial 

Initials 

Initials 

IN 

Reason for Board Action: 

POVERTY DENIED 

Ifyou disagree with the decision ¢ 

“ 

-. 

taxable value, you may appeal that decision by filing a petition with the Michigan Tax Tribunal at 

® 

4 

ol 

7 

“ 

} 

os 

appealed by May 31. Agricultural Real, Residential Real, Timber - Cut Over Real, and Agricultural Personal Property may be appealed by July 31. The petition must be filed 

ont 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. 

ION 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

OO 

benied 

[7] 

Classification Changed From: 

401 

To: 

Record of Vote - Board or three member committee of board, 

Chairperson: 

[| YEs 

[J 

no 

Member: 

[] Yes 

[J 

wo 

Member: 

[J] ves 

[J wNo_____ 

Initials 

Initials 

Initials 

Reason for Board Action: 

if you disagree with the decision of the Board of Review regarding classification, you may appeat by sending Form 2167 to the State Tax Commission, PO Box 30471, Lansing 

Mi 48909 by June 30. 

4. QUALIFIED AGRICULTURAL FROPERTY.EXEMPTION 

| 

Disposition by Board of Review. The Board of Review must state the reason for its action below. 

0 

Exemption Request Denied 

0 

Exemption percent modified from 

% To: 

% 

Record of Vote - Board or three member committee of board. 

Chairperson: 

[] yes 

[J] 

No 

Member: 

[] YES 

[] no 

Member: 

[] ves 

[J no

dH ~aUI 

=~ 34 

1 — DOOYOO 

2020 Folica 

PEE: loo. 

pEEEIYED 

\neome (5,398 

338 

#11 home 

Michigan Department of Treasu 

br 

chigan 

Department 

ry 

Pn 

Yr. Exempt: No Ney 

MAR 06 2026 

5737 (Rev. 10-25), Page 10f 4 

("Application and Affirmation for MCL 211.7u Poverty Exemption 

{This form is issued under the authority of the General Property Tax Act, Public Act 206 of 1893, MCL 211.7u. 

by Muskagon County 

MCL 211.7u of the General Property Tax Act, Public Act 206 of 1893, provides a property tax exemption for the principal 

residence of persons who, by reason of poverty, are unable to contribute toward the public charges. This application is 

to be used to apply for the exemption and must be filed with the Board of Review where the property is located. This 

application may be submitted to the city or township where the properly is located in each year on or after January 1 but 

before the day prior to the last day of the board of review. Poverty Exemptions may be heard by the Board of Review 

during its March, July, and December sessions. 

To be considered complete, this application must: 1) be completed in its entirety, 2) include information regarding all 

members residing within the household, and 3) include all required documentation as listed within the application. Please 

write legibly and attach additional pages as necessary. 

PART 1: PERSONAL INFORMATION — Petitioner must list all required personal information. 

Daytime Phone Number 

Pelitoner’s Name Andrea 

KL Harm on 

h 3) 27/5 3 “9 

Age of Petitioner 

Marital Status 

Age of Spouse 

A 

Number of Legal Depengdénts 

i 

a 

Single 

"J EXT 

of = Residence ¢ L, 

—/ 

City M Us, leg - 

i 

U7y 4, / 

PART 2: REAL oH] INFORMATION 

List the real estate information refated to your principal residence. Be prepared to provide a deed, land contract or other 

evidence of ownership of the property at the Board of Review meeting. 

TRY Parcel identification Number 

(me of Morigage Company 

HEADS 347 - 006 1-00 

Poi 

Wtzyene Switched Tp Newesz 

¢ 

. 

Unpaid Balance Owed on Principal = 

Monthly Payment 

J 

Length of Time at this Residence 

| EAN 

B55: 2F 

19 yrs_ montis 

op: 

estription 

Sia Jef 

home "lst atcha d 

hrage (historic) 

in on lei) historic] district Tp 

pri mary residence, 

PART 3: AFFIRMATION OF OWNERSHIP, GCCUPANCY, AND INCOME STATUS (Check all boxes that apply.) 

[A Town the property in which the exemption is being claimed. 

Drfhe property in which the exemption is being claimed is used as my homestead. Homestead is generally defined 

as any dwelling with its land and buildings where a family makes its home. 

PART 4: ADDITIONAL PROPERTY INFORMATION 

List information related to any other property owned by you or any member residing in the household.

f 

N 

5737, Page 2 of 4 

PART 5: EMPLOYMENT INFORMATION — List your current employment information, 

Rouges) Cielo Cis of 

Wuckes \8eesiprm 

rs W, Western Ave 

YnusKeaon 

MW 4guy) 

Contact Person 

Sam) Numpef 

N 

Zabrina Som F440 (Diet) 

33)- 3] 5=5576 

PART 6: INCOME SOURCES 

List all income sources, including but not fimited to: salaries, Social Security, rents, pensions, IRAs (individual 

retirement accounts), unemployment compensation, disability, government pensions, worker's compensation, 

dividends, claims and judgments from lawsuits, alimony, child support, friend or family contribution, reverse mortgage, 

or any other source of income, for all persons residing at the property. 

Monthly or Annual Income 

(indicate which) 

Oulary (Ste gavite Recrnon) 

$ 8%, 538 

Salary 

( Aodiore 

Nea cpvan, 

[810.370,98 

DTS) ir 

[ Aver Ala cn pm Fil 712.00 

PART 7: CHECKING, SAVINGS 

AND INVESTMENT INFORMATION 

List any and all savings owned by all household members, including but not timited to: checking accounts, savings 

accounts, postal savings, credit union shares, certificates of deposit, cash, stocks, bonds, or similar investments, for all 

persons residing at the property. 

B 

Source of Income 

Name of Financial Institution 

Amount 

Current 

Value of 

( 7 

or lavestments 

on Deposit 

linterest Rate 

Name on Account 

Investment 

[Rest Finding) Qupdit (ng 

A Ne) ra 

ane 

Aone 

N-A- 

AA. Slgphaumic Reon, 

yA A. 

PART 8: LIFE INSURANCE — List all policies held by all household members, 

Amount of 

Monthly 

Policy Paid in 

Relationship to 

Name of Insured 

Policy 

Payments 

Full 

Name of Beneficiary 

Insured 

f 

PART 9: MOTOR VEHICLE INFORMATION

5737, Page 3 of 4 

‘| PART 10: HOUSEHOLD OCCUPANTS — List all persons living in the household. 

Relationship 

$ Contribution to 

First and Last Name 

Age 

to Applicant 

| Place of Employment | Family income 

Andres Hamer | 53 | Bel 

Bras roe 

Neb pren 

Shelia Hacmon 

| 70 | \pnisthe 

dh 

287 p08) 

Slephanie Pacmal 

21 

| dug 

def HH wwf 4550. 

osha Ha rom oa 

14 

367 

[El tine Suda 

$O 

Stedaen 

Alms. | |S 

Son 

ful) ime Shi Yo 

Kitrbowru 8Poucs | 

|| 

Orandda 

pone, 

* 0 

Teabedlikidle 

4g 

andi afer 

Pome, | 2O 

Micha] Herm $8) 20 

son” [Bu 

weshdd® © 

PART 11: PERSONAL DEBT — List alf personal debt for all household members. 

’ 

Date 

i 

Creditor 

Purpose of Debt 

of Debt 

[Original Balance Monthly Payment] 

Balance Owed 

DH Vie ag. 

home, 1043-2402 (50,070 Fuzg £8 %1, Por22) 

[Rest Fancy 

a EYE. 

|, 200 

HR] 

PART 12: MONTHLY EXPENSE INFORMATION 

The amount of monthly expenses related to the principal residence for each category must be listed. Indicate N/A as 

necessary. 

' eS { 

, 50 

BA , oOo 

pai 

1 co 

Phone ¢ HOO ,o0 

Cable 

Food 

y 

Vos) 

Ciothi 

Health Insurance 

® 

00. 

Yad 

4

5737, Page 4 of 4 

NOTICE: Per MCL 211.7u(2)(b), federal and state income tax returns for all persons residing in the principal residence, 

: 

including any property tax credit returns, filed in the immediately preceding year or in the current year must be submitted 

- 

with this application. Federal and state income tax returns are not required for a person residing in the principal residence 

if that person was not required to file a federal or state income tax return in the tax year in which the exemption under this 

section is claimed or in the immediately preceding tax year. 

PART 13: POLICY AND GUIDELINES ACKNOWLEDGMENT 

The governing body of the local assessing unit shall determine and make available to the public the policy and 

guidelines used for the granting of exemptions under MCL 211.7u. In order to be eligible for the exemption, the 

applicant must meet the federal poverty guidelines published in the prior calendar year in the Federal Register by the 

United States Department of Health and Human Services under its authority to revise the poverty line under 42 USC 

9902, or alternative guidelines adopted by the governing body of the local assessing unit so fong as the alternative 

guidelines do not provide income eligibility requirements less than the federal guidelines. The policy and guidelines 

must include, but are not limited to, the specific income and asset levels of the claimant and total household income 

and assets. The combined assets of all persons must not exceed the limits set forth in the guidelines adopted by the 

local assessing unit. 

[fe applicant has reviewed the applicable policy and guidelines adopted by the city or township, including the 

specific income and asset levels of the claimant and total household income and assets. 

PART 14: LEGAL DESIGNEE INFORMATION (Complete if applicable.) 

Legal Designee Name 

Daytime Telephone Number 

i 

Mailing Address 

N 

i J 

City 

State 

ZIP Code 

PART 15: CERTIFICATION 

I hereby certify to the best of my knowledge that the information provided in this form is complete, accurate and 

| am 

( ™ 

eligible for the exemption from property taxes pursuant to Michigan Compiled Law, Section 211.7u. 

vy 

inted Name 

Signature 

a 

a 

Date 

) 

And es 

He Conon 

(hd 

13. bh 

This application shall be filed after January 1, but before the day prior to the last day of the local unit's December 

Board of Review, 

Decision of the March Board of Review may be appealed by petition to the Michigan Tax Tribunal by July 31 of 

the current year. A July or December Board of Review decision may be appealed to the Michigan Tax Tribunal by 

petition within 30 days of decision. A copy of the Board of Review decision must be included with the petition. 

Michigan Tax Tribunal 

PO Box 30232 

Lansing MI 48909 

Phone: 517-335-9760 

Email: taxtrib@michigan.gov 

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THE HUNTINGTON NATIONAL BANK 

PO BOX 1558 EATW37 

COLUMBUS OH 43216-1558 

SHELIA HARMON 

1341 4TH ST 

MUSKEGON Mi 49441-2048 

Huntington Premier Savings Account 

(¥) Huntington 

Have a Question or Concern? 

Stop by your nearest Customer 

Huntington office or 

Information 

contact us at: 

Privacy Notice 

1-800-480-BANK (2265) 

ww. huntington.com 

Account: =--- 

Statement Activity From: 

Beginning Balance 

10/01/25 to 12/31/25 

Credits (+) 

Debits (-) 

Interest Paid (+) 

Total Fees (} 

Ending Balance 

Average Balance 

Low Balance 

( 

Interest eamed this statement period $0.05* 

$2,200.70 

1,352.00 

1,952.00 

0.05 

0.00 

$1,600.75 

1,907.79 

1,600.70 

{*) This amount represents interest accrued on your account during this statement period. Interest is 

avallable for withdrawal when paid to your account, 

Annual Percentage Yield Eamed this statement period 0.01% 

Deposit / Credit Activity (+) 

Account: -- 

Date 

Description 

Amount 

10/03 

SSATREAS 310 XXSOC SEC 100325 X0O0X9024A SSA 

434.00 

1017 

INTERNET 

TFR FRM CHECKING 101725 XX00000K2218 

50.00 

11/03 

SSA TREAS 310 XXSOC SEG 110325 X0XXXX9024A SSA 

434.00 

12/03 

SSATREAS 310 XXSOC SEC 120325 XXXXX9024A SSA 

434.00 

12/31 

INTEREST PAYMENT 

0.05 

Other Withdrawal / Debit Activity (=) 

pros 

|

((#) Huntington 

Other Withdrawal / Debit Activity (-) 

Account: —| 

Date 

Description 

Amount 

10/08 

INTERNET TFR TO CHECKING 100625 XXXXXXX2218 

100.00 

10/14 

INTERNET TFR TO CHECKING 101425 XXXXXXX2218 

100.00 

10/17 

INTERNET 

TFR TO CHECKING 1017265 XXXXXXX2218 

100.00 

10/17 

INTERNET 

TFR TO CHECKING 101726 XXXXXXX2218 

50.00 

10/20 

INTERNET TFR TO CHECKING 102025 XXXXXXX2218 

50.00 

10/23 

INTERNET TFR TO CHECKING 102326 XXX)XXXX2218 

50.00 

10/23 

INTERNET 

TFR TO CHECKING 102325 XXXXXXX2218 

25.00 

1403 

INTERNET TFR TO CHECKING 110325 XXXXXXX2218 

125.00 

11/04 

INTERNET 

TFR TO CHECKING 110425 XXXXXXX2218 

84.00 

11/05 

INTERNET TFR TO CHECKING 110525 XXXXXXX2218 

25.00 

1117 

INTERNET TFR TO CHECKING 111725 XXXXXXX2218 

75.00 

1/25 

INTERNET 

TFR TO CHECKING 112525 XXX)XXXX2218 

. 

50.00 

12/03 

INTERNET TFR TO CHECKING 120325 XXXXXXX2218 

328.00 

12/08 

INTERNET 

TFR TO CHECKING 120825 XXXXXXX2218 

66.00 

1215 

INTERNET 

TFR TO CHECKING 121525 XXXXXXX2218 

80.00 

12/17 

INTERNET 

TFR TO CHECKING 121725 XXXXXXX2218 

20.00 

12119 

INTERNET TFR TO CHECKING 121925 XXXXXXX2218 

50.00 

12/20 

INTERNET TFR TO CHECKING 122925 XXXXXXX2218 

200.00 

12/20 

INTERNET 

TFR TO CHECKING 122926 XXXXXXX2218 

50.00 

Huntington Premier Savings Balance Activity 

Accounts ~--- 

Date 

Balance 

Date 

Balance 

| Date 

Balance 

09/30 

220070 

| 11/03 

218470 

| 12115 

1,920.70 

10/03 

2330070 

| 11/04 

210070 | 12117 

1,900.70 

10/06 

220070 

| 

11/05 

207570 

| 1219 

1,850.70 

10/14 

240070 

| 11/47 

2,000.70 

| 12/20 

1,600.70 

10/17 

2,00070 

| 11/25 

1,950.70 

| 

12/31 

1,800.75 

10/20 

1,950.70 

| 

12/03 

2,056.70 

10/23 

1875.70 

| 

12/08 

2,000.70

City of Muskegon Poverty Exemption Asset Test Guidelines 

1. 

You must be the owner of and occupy as your principal residence the property for which you are 

requesting the exemption. 

2. 

Ifrequested, you must produce a valid driver's license or other form of positive identification. 

3. 

Ifrequested, you must produce a deed, land contract, or other evidence of ownership of the property 

for which an exemption is requested. 

4. 

Total household assets (except for the principal residence being claimed, essential household goods, 

and one motor vehicle) may not exceed one quarter (25%) of the Federal poverty guideline for the 

entire household. Assets include, but are not limited to real estate, motor vehicles, recreational 

vehicles and equipment, time shares, certificates of deposit, savings accounts, checking accounts, 

stocks, bonds, life insurance, retirement funds, antiques and collectibles, etc. Assets do not include 

basic essential household goods such as furniture, appliances, dishes and clothing. 

The value of 

assets will not be reduced by the amount of any indebtedness owed on such assets, or any 

indebtedness otherwise owed by the applicant or members of the household. 

Federal Poverty Guidelines used in the determination of 

Poverty Exemptions for 2026 

MCL 211.7u, which deals with poverty exemptions, was significantly altered by PA 390 of 1994 and was 

further amended by PA 620 of 2002. Local governing bodies are required to adopt guidelines that set 

income levels for their poverty exemption guidelines and those income levels shall not be set lower by a 

city or township than the federal poverty guidelines updated annually by the U.S. Department of Health 

and Human Services. This means, for example, that the income level for a household of 3 persons shall 

not be set lower than $26,650 which is the amount shown on the following chart for a family of 3 persons. 

Following are the federal poverty guidelines for use in setting poverty exemption guidelines for 2026 

assessments: 

Size of Family Unit 

Income Guidelines 

| City of Muskegon Asset 

Guidelines (25% of Income) 

1 

$15,650 

$3,913 

2 

$21,150 

$5,288 

3 

$26,650 

$6,663 

4 

$32,150 

$8,038

Michigan Department of Treasury 

* 

4888(05-12) 

Poverty Exemption Affidavit 

This form is fssuzd undsr authority of Public Act 203 of 1833; 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 propery Is located, MCL 271.7u provides for a whole 

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

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

to the board of review by supplying coples of federal and state income tax vetums 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 fo file federal or state Income tax retumns for the current or preceding fax year. 

I, 

EH he lio 2) Har YOY] 

, 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 fax year and the preceding fax year, 

| was not required fo file a federal or state income 

tax return. 

Address of Principal Residence: 

[3 4) Fe ourth Sn 

MuySKegan Mi H944] 

Shatic Nawsuon 

A -2 7-202¢- 

Signature of Person Making Affidavit

Michigan Department of Treasury 

‘4988 (05-12) 

Poverty Exemption Affidavit 

This form is iseusd under authority of Public Act 205 of 1633; 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 properly fax exemption on the principal residence of an owner of the propery by reason of poverty and the 

inability to confribute 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 parsons residing in the principal 

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

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

I, 

Jed Ve, Namo 

mg 1985 

, swear and affirm by my signature below that 

| 

reside in the principal residence thats 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: 

| 3 ar 

] 

Fou th 

Sk 

M bel — A M | 

Yqyy| 

y: Pidh [ 

3-27- vob 

Signature of Person Making Affidavit 

Date

i 

“ 

i FACTS ABOUT YOUR 2025 SOCIAL SECURITY BENEFIT STATEMENT 

. 

Your 2025 Social Security Benefit Statement is on the back of this form. Use it, along with the 

information below, to see if part of your Social Security benefits may be taxable, 

(What 

YouNeedToDo 

Box 2-“Social Security 

Box 4-“Benefits Repaid to SSA 

Use the 2025 statement on the 

Number” shows the Social 

in 2025" shows the total amount of 

reverse, with the Internal 

Security number ofthe person shown 

benefits you repaid us in 2025. We 

Revenue Service (IRS) Notice 

in Box 1, if we have the number. 

show items that apply 

to you in the 

708 below, 

to see if any of your 

Box 3-“Benefits Paid 

in 

column headed “Description of 

Social Security benefits ave 

"shows the total amount; 

Amount 

in Box 4” 

FORM SSA-1099 — SOCIAL SECURITY BENEFIT STATEMENT 

2 

2 

+ PART OF YOUR SOCIAL SECURITY BENEFITS SHOWN IN BOX 5 MAY BE TAXABLE INCOME. 

+ SEE THE REVERSE FOR MORE INFORMATION, 

Box 1. Name 

Box 2. Beneficlary’s Social Security 

Number 

ANDREA R HARMON 

A. 

3 

Box 3. Benefits Paid in 2025 

Box 4. Benefits Repaid to SSA in 2025 

: 

$11,712.00 

NONE 

DESCRIPTION OF AMOUNT IN BOX 3 

. 

DESCRIPTION OF AMOUNT IN BOX 4 

Paid by check or Direct deposit 

$11,712.00 

NONE 

Medicare Part B premiums deducted 

i 

from your benefits 

$555.00 

C 

Total Additions 

$12,267.00 

g 

Subtract 

Non-Taxable payments 

$555.00 

Total Subtractions 

$555.00" 

Benefits for 2025 

$11,712.00 

i 

Box 6. Voluntary Federal Income Tax Withheld 

NONE 

Box 7. Address 

ANDREA R HARMON 

1341 FOURTH ST 

MUSKEGON M1 49441-2049

4d 

Control numhe 

409876_NCT3/TYv|10040 

Yrs name, address, and ZIP code 

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BOYS AND GIRLS CLUB OF T 

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MIAMI FL 33173 

Batch #06518 

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ANDREA HARMON 

1341 FOURTH STREET 

MUSKEGON MI 48441 

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bp TOTALSOURCE 

A NHS 

BOYS AND GIRLS CLUB OF T 

10200 SUNSET DRIVE 

MIAMI FL 33173 

Batch #06518 

eff Employee's name, adtireas, and ZIP code 

ANDREA HARMON 

1341 FOURTH STREET 

MUSKEGON Mi 49441 

10570. 5 

3 

Social securlty wages 

© 

10370, 95, 

g 

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10370. 98 

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MUSKEGON" mi 49441 

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fri TOTALSOURCE NHXXVII 

BOYS AND GIRLS CLUB OF. T 

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—

2025 Federal Tax Return Filing 

Instructions 

FOR THE YEAR ENDING 

December 31, 2025 

prepared 

| STEPHANIE A HARMON 

for 

Gross Income......vevcurcunnnen 

$36538 

Adjusted Gross Income, 

$38538 

Total Deductions... 

$23625 

Tax 

Total Taxable Income... 

$14913 

Summary 

ELIE FOO 

50 

Total Payments..........coveercrvsienirennns 

$6878 

Refund AmMount........ocoecnrrnoion 

nm 

$6878 

Amount YOU OWR.......cocuecnrcnrermrncans 

$0 

Make check 

payable to 

C) 

Malling 

Since vou are filing your return electronically and vou chose to use an 

Address 

electronic signature, vou do not mail vour return. 

Instructions 

i you e-filed your return and it has been accepted, you will gel notified via text or email if you opted for that option. 

Your tax obligation is exaclly mel. No additional lax is due.

, 

New 

Year 

New Savings Goals! 

ANDREA RACQUEL HARMON 

12 Month CD 

1341 4TH ST 

E 

4 

AR 

MUSKEGON Mi 48441-2049 

a 

ACCOUNT SUMMARY 

Shares 

Baginning Balance 

Tota) Withdrawals 

~~ Total Deposits 

Ending Balance 

0001 REGULAR CHECKING 

225.00 

«3,035.00 

2,810.00 

0.00 

0100 REGULAR SHARE 

104.17 

2,457.96 

2,363.40 

9.61 

Loans 

Baglnning Balance 

Yotol Advances 

Total Payments 

Ending Balance 

0520 USED AUTO 

2,124.66 

0.00 

339.36 

1,824.99 

ID 0001 - REGULAR CHECKING 

Dividends Paid YTD: 0.00 

Date 

Transaction Descripilon 

Withdrawal 

Deposit 

Balance 

12/01 

Balance Forward 

225.00 

12/08 

Deposit 

2,810.00 

3,035.00 

Check Recalved 2,010.00 

12/08 

Withdrawal ACH PROG MICHIGAN 

223.01 

2,811.89 

TYPE: INS PREM ID: 9400348112 DATA: BRANCHODEBIT ACH CO: 

PROG MICHIGAN NAME: Andron Harmon 

12/08 

Withdrawal ACH CONSUMERS ENERGY 

233.00 

2578.99 

TYPE: ENERGYBILL ID: 6380442310 DATA: DIRECT DEBITING CO: 

CONSUMERS ENERGY 

12/11 

Withdrawal ACH DTE Energy 

«131.00 

2,447.98 

TYPE: 800477474 ID: 0000420792 DATA: 2643503788621 CO: DTE 

Energy 

a 

12/15 

Withdrawal ACH MORTGAGE SERY CT 

1,379.12 

1,068.87 

J 

TYPE: MTG PAYMT ID: 4222195896 DATA: ACH DEBIT MTG PYMT 

” 

CO: MORTGAGE SERV CT 

12/18 

Withdrawal Homa Banking Transtar To Share 0100 

“300.00 

768.87 

12/20 

Withdrawal Home Banking Transler To Share 0100 

2060.00 

566.87 

12/21 

Withdrawal Home Banking Transfer 

To Share 0100 

260.00 

308.87 

12/22 

Whhdrawal Home Banking Transler To Share 0100 

~100.00 

200.87 

12/26 

Withdrawal Transter To Share 0100 

208.87 

non 

12/31 

Ending Balance 

0.00 

S Withdrawal(s) = «3,035.00 

1 Deposit(s) = 2,810.00 

Total For This Perlod 

Total Year-To-Date 

Total Overdralt Foas 

0.00 

0.00 

Total Relurned Item Fens 

0.00 

£6.00 

iD 0100 - REGULAR SHARE 

Dividends Paid YTD: 0.82 

Date 

Transaction Description 

Withdrawal 

Deposit 

Balances 

12/01 

Balance Forward 

104.17 

12/61 

Withdrawal ACH SENIOR LIFE INSU 

47.30 

56.87

[rae 

12/20 

12/21 

12/21 

12/22 

12/22 

12/24 

12/28 

12/27 

12/27 

12/29 

12/30 

12/30 

12/30 

12/30 

12/31 

12/31 

12/31 

COTES 

| IWYHG LCHINIIY NIAURITE TIVE SLIT UU 

Withdrawal al ATM $00008685 

05B7-FAMILY FINANCIAL CU 3575 Henry St Muskegon Mi 

Deposit Home Banking Transler From Share 0001 

Withdrawal al ATM 2000000006312 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLVD. 

MUSKEGON MI 

Deposit Home Banking Transfer From Share 0001 

Withdrawal at ATM #204400005223 

Walmart Supercenter 3876 32656 HENRY ST MUSKEGON Mi 

Deposit ACH ADP TOTALSOURCE 

TYPE: PAYROLL ID: 9111111101 DATA: 4100075043 T7 CO: ADP 

TOTALSOURCE 

Daposh Transfer From Share 0001 

Withdrawal at ATM #44B500002862 

Wasco Muskagon 13 1075 W LAKETON AVE MUSKEGON MI 

Withdrawal SYCCHG ATM TRANS 

Wesco Muskegon 13 1075 W LAKETON AVE MUSKEGON Mt 

Withdrawal ACH SENIOR LIFE INSU 

TEE FIEMIUM 1D: 1581097892 DATA: 877-777-8808 CO: SENIOR 

El 

Na Marathon GasExpress Lane 812 W LAKETOM AVE MUSKEGON 

Withdrawal SYCGHG ATM TRANS 

Na Marathon GasExprass Lane 812 W LAKETON AVE MUSKEGON 

Withdrawal at ATM #716900008629 

Marathon GasExpross Lano 812 W LAKETON AVE MUSKEGON M! 

Withdrawal SVCCHG ATM TRANS 

Maralhon GasExprass Lane 812 W LAKETON AVE MUSKEGON Mt 

INQ BEST FINANCIAL CREDIT UNI 1888 E, SHERMAN BLVD. 

MUSKEGON MI 

Withdrawal SVCCHG ATM TRANS 

ING BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLYD. 

MUSKEGON MI 

Withdrawal at ATM $000000007311 

BEST FINANCIAL CREDIT UNI 16888 E. SHERMAN BLVD. 

MUSKEGON MI 

Best Financial 

| 

Your Best Within Reach 

2a 

nian 

H 

200.00 

“260.00 

-103.28 

103.00 

«1.00 

47.30 

«1.00 

-200.00 

1.00 

1.00 

£0.00 

Zzuvuy 

260.00 

100.00 

200.00 

208.87 

PAT 

19.16 

279.18 

19.16 

119.16 

15.91 

215.91 

424.78 

321.78 

320.76 

273.48 

27248 

F248 

71.48 

70.48 

10.48 

Account Number: XXXX! 

Statement Period: 12/01/2025 10 12/3 

Page 30f 3 

iD 0100 

- REGULAR SHARE (Continued 

Data 

12/31 

12/31 

Transaction Deseription 

Withdrawal SVCCHG ATM TRANS 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLVD, 

MUSKEGOM M| 

Doposit Dividend 0.180% 

Annual Percentage Yield Eamed 0.170% from 10/1 1/2025 through 

12131/2025 

Withdrawal 

»1.00 

Deposit 

0.13 

Balance 

9.48 

9.61

Total For This Perlod 

Tota! Year-To-Date 

(Total Overdralt Foas 

0.00 

0.00 

Total Returned tom Fees 

0.00 

56.00 

Dividends Paid YTD: 0.69 

ID 0100 

- REGULAR SHARE 

Date 

Transaction Description 

Withdrawal 

Deposit 

Balance 

11/01 

Balance Forward 

42.28 

11/01 

Withdrawal al ATM F000DBE00253 

200.00 

142.28 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLYD. 

MUSKEGON Mi 

11702 

Withdrawal al ATM #000000004310 

40.00 

1° 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON Mi 

N 

11/08 

Deposit ACH SSA TREAS 310 

¢ 

TYPE: XXSOC SEC ID: 91010365669 CO: SSA TREAS 310 

AV 4 

11/07 

Withdrawal al ATM #00000DO0S841 

43.00 

6 

PAf ATM 631 W SOUTHERN AVE MUSKEGON Mi 

11710 

INQ BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON Mi 

11/10 

Withdrawal al ATM 000000004308 

«100.00 

514.28 

BEST FINANCIAL CREDIT UN! 881 THIRD ST. MUSKEGON MI 

1A2 

Withdrawal 

339.36 

174.92 

11/13 

Deposit ACH ADP TOTALSOURCE 

200.00 

374.82 

TYPE: PAYROLL ID: 5111111102 DATA: 4121031769 T7 CO: ADP 

TOTALSOURCE 

11/13 

INQ Walmart Supercenter 3878 3285 HENRY ST MUSKEGON Mi 

1113 

INQ Walmart Supercantor 3876 3285 HENRY ST MUSKEGON Mi 

1113 

Withdrawal at ATM #878000004122 

203.25 

171.67 

Walmart Supercenter 3876 3285 HENRY ST MUSKEGON mI 

Best Financial 

| 

Your Dest Within Reach 

Account Number: xo 

EREpLn aon 

Statement Perlod: 11/01/2025 10 11/30/2025 

Page 203 

1D 0100 - REGULAR SHARE (Continued) 

Date 

Transaction Deserlption 

Withdrawal 

Daposit 

Balance 

11/14 

INC BEST FINANCIAL CREDIT UN! 1888 E, SHERMAN BLVD. 

MUSKEGON M) 

11714 

Withdrawal at ATM #000000002139 

~100.00 

71.67 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLVD. 

MUSKEGON M! 

11/18 

Withdrawal at ATM #600000004480 

80.00 

11.67 

BEST FINANCIAL CREDIT UNI 581 THIRD ST. MUSKEGON Mi 

1/18 

Withdrawal SVCCHG ATM TRANS 

1.00 

10.67 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON MI 

11/19 

Deposit ACH SSA TREAS 310 

791.00 

801.67 

TYPE: XXSOC SEC ID: 9031036350 CO: SSA TREAS 810 

11/20 

INQ BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON Mt 

11/20 

Withdrawal SVCCHG ATM TRANS 

+1.00

(HD 

Loans 

Baglnning Balance 

Total Advancos 

Talal Payments 

Ending Balance 

0520 LUSED AUTO 

2400.38 

0.00 

0.00 

2,400.38 

ID 0001 - REGULAR CHECKING 

: 

Dividends Paid YTD: 0.00 

Date 

 Yransaction Description 

Withdrawal 

Daposit 

Balance 

10/41 

Balance Forward 

8.00 

10/31 

Ending Balance 

0.00 

Total For This Parlod 

Total Year-To-Date 

Total Overdraft Feos 

0.00 

0.00 

Talal Relurned tam Fees 

0.00 

) 

66.00 

Date 

Transaction Desctiplion 

Withdrawal 

Daposit 

Balancs 

Wil 

Balance Forward 

796.32 

10116 

Deposit ACH ADP TOTALSOURCE 

200.00 

996.32 

TYPE: PAYROLL ID: 9111111102 DATA: 4121031769 T7 CO: ADP 

TOTALSOURCE 

1016 

ING Walmart Supsrcantor 3876 8285 HENRY ST MUSKEGON Mi 

10/16 

Wihdrawal at ATM #877000003317 

-153.25 

843.07 

Walmart Supsecenter 3878 3205 HENRY ST MUSKEGON M} 

10/16 

INQ Walmart Supercenter 3876 3285 HENRY ST MUSKEGON Mi 

10117 

Withdrawal at ATM #000000004 

102 

~100.00 

743.07 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON WM 

10119 

INQ PAL ATM 1121 E, LAKETON AVE MUSKEGON MI 

10418 

Withdrawal at ATM #000000008202 

42.50 

700.57 

PAL ATM 1121 E, LAKETON AVE MUSKEGON M} 

10/24 

Withdrawal at ATM #000000{04211 

-100.00 

600.67 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON #1 

10/27 

Withdrawal al ATM #5380000008125 

-103.49 

497.08 

B14 Wireless 415 E Lakelon Ave Muskegon Mi 

10/28 

Withdrawal ACH SENIOR LIFE INSU 

47.30 

449.78 

TYPE: PREMIUM ID: 1581097892 DATA: BY7-777-8808 CO: SENIOR 

LIFE INSU 

10/28 

INQ Walmart Suparcentor 3878 3285 HENRY ST MUSKEGON Mi 

10/28 

INC Walman Supercenter 3876 3285 HENRY ST MUSKEGON M) 

10/28 

Withdrawal at ATI #841400003606 

203.25 

248.53 

Your Best Vithin Reash 

Account Numbor 

i 

Statement Period: 10/11/2025 to 10/31/2025 

Page 20f2 

ID 0100 - REGULAR SHARE (Continued) 

j 

) 

E 

Date 

Transaction Description 

Withdrawal 

Dsoposit 

Balance

ANDREA RACQUEL HARMON 

1341 ATH ST 

Pege 

1 

of 

2 

MUSKEGON MI 

40441 

From: 

10-61-25 

To: 

10-10-26 

[Member # 

 XXxx 

Please visit 

cur website 

for 

more detailal 

Best Financlal is getting a mafar update to its processing system to improve products, 

sarelons, secirity, 

, afflciency and the overall m 

p 

there wili be a 

ptior 

in se 

s October 10 Lo 15.4 

and patlence during this tima as BEST gets 

Chasing at 5 

Pha Alf 

i 

at hPL 

or 

More Detalls 

HEYA 

\ 

Y 

to Comel 

Credit Lai 

sod ar 

1 

ifline. 

Statement Summary 

Bagianing 

Ending 

Share Account Descriptionis) 

Suffix 

Balance 

Balance 

Regular Checking 

81 

H.00 

0.00 

Regular Share 

8100 

142.32 

796.82 

Used Auto 

L520 

2,684.28 

2,400.38 

Checking 1: Regular Checking 

Posted 

Eff 

Transactioh Description 

Check 

AmMGUNREL ___ Balanca 

09-30-25 

Pravigus Balance 

3,00 

10-10.25 

New Balance 

D0 

C ~ 

Dividends of $0.00 have been pald year-to-date for this suffix. 

/ 

’ 

mememesun 

Account Summary 

BE 

Balance 

as 

of 

last statement 

0.00 

0 Deposits 

and other credits 

0.60 

0 Chocks posted 

0,00 

0 Other withdrawals 

0.00 

Balance 

as 

of 

this statement 

0.00 

B 

oT 

” 

Total For Ths Period | Total Year-to-Date) 

Total 

Overdraft Fees 

0.00 

0.08 

\__Total 

NSF Foes 

0.00 

56,00 ) 

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

09-30-25 

Provious Balance 

142,32 

10-02-25 

ACH Deposit 

260.00 

342.32 

9111111102 ADP TOTALSOURCE PAYROLL 

251002 

10-03-28 

Share Withdrawal 

-337.00 

5.32 

10-08-25 

ACH Deposit 

791.00 

796.32 

Ownership of share, deposit and cedificate accounts shown

Cpenirg at 

§ PM. Digital Banking Services Available, 

’ 

Statement Summary 

Chocking 1: Regular Checking 

Beginning 

Ending 

Share Account Descrigtion(s) 

Suffix 

Balances 

Balance 

Regular Checking 

81 

0.00 

0.00 

Regular Share 

S100 

13.10 

142.32 

Used Auto 

L620 

2,684.28 

2,684.28 

Savings 100: Regular Share 

Posted 

ETT 

Transaction Description 

Check 

Amount 

Balance 

08-31-25 

Previous Balanca 

0.00 

09-20-25 

New Balance 

BU 1] 

Dividends of $0.00 have been pald year-to-date for Ibis suffix. 

Wey 

Account Summary 

EET 

Balance 

as 

of 

last statement 

0.0840 

C Deposits 

and other cradits 

0.680 

0 Checks 

posted 

0.00 

0 Other withdrawals 

0,00 

Balance 

as 

of 

this statement 

0.00 

N 

Total For This Perigd_| 

Total Yearto-Datg 

Total Ovardraft fees 

0.00 

0.00 

Total 

NSF Fees 

0.00 

56,00 

® 

Posted 

Eff 

Transaction Description 

Amaunt 

Balance 

08-31-25 

Previous Balance 

~13,10 

09.02.25 

Insufficient Funds Fee 

-28,00 

-41.,10 

Non-sufficlant funds for $31.64 47-02458611 MUTUAL 

09-03.25 

Insufficient Funds Fee 

-28,00 

-89.10 

Non-sufficient funds for $31.64 47-0246611 MUTUAL 

Ownership of share, deposit and certificate accounts shown on this statement Is not transferable except onthe books of the credit union. 

Nice: Se lat page ferippnrsn nTonrion ragardng your 1ights to dispale bit ng erars, 

ry 

BEST FINANCIAL CREDIT UNION 

Kember 

#: 

AXXXXXB40 

ANDREA RACOUEL HARHON 

PAGE 

2 

OF 

2 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

00-04-25 

ACH Deposit 

170.79 

101.69 

9111111101 ADP TOTALSOURCE PAYROLL 250504 

09-11-25 

ATM Withdrawal 

-80.00 

21.69 

BEST FINANCIAL CREDIT UNI 881 THIRD ST. MUSKEGON M 

09-15-25 

ACH Deposit 

791,00 

812.69 

0031636360 SSA TREAS 310 XXSCC SEC 061725 

06-16-25 

ACH Withdrawal 

-455, 88 

356.81 

4222195996 MORTGAGE SERV CT MTS PAYMT 091525 

09-17-25 

ATM Withdrawal 

«103.25 

253.56 

Walmart Supercenter 3876 3285 HENRY ST MUSKEGON Mt 

09-18-25 

ACH Deposit 

200.00 

453.56

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amaunt 

Balance 

07-34-25 

Previous Balance 

223.55 

08-0%-25 

ACH Withdrawal 

-31.64 

191.91 

. 

47-0246611 MUTUAL OF OMAHA AUG INSPRM250801 

08-03-25 

ATM Withdrawal 

-43.50 

148.41 

1010 Sports Bar 3680 Airline Norton Shores Mi 7963 

08-06-25 

ATH Withdrawal 

-44.00 

104.41 

Ownership of share, deposit and centificate accounts shown on this statement Is no transferable except on the books of the credit unlon. 

NAC: See ne page for impcand mia 

ation aagurdng your nghis bo disputes bing emors. 

BEST FINANCIAL CREDIT WHION 

Hamber 

#: [ 

RACQUEL HARHON 

PAGE 

2 OF 

2 

Posted 

Eff 

Transaction Description 

Amount 

Balanco 

Tha Trap 1237 W Laketon Ave Muskegon M) 79632 

08-07-25 

ACH Deposit 

200.00 

304.41 

9111111102 ADP TOTALSOURCE PAYROLL 250807 

08-07-25 

Share Deposii Transfer 

39,95 

344.36 

From your share 1 

08-07-25 

Withdrawal Transfer 

~339,38 

5.00 

To your loan 520 

08-20-25 

ACH Deposit 

976.00 

981.00 

9031036360 SSA TREAS 310 XXS0C SEC 082025 

08-21-25 

ACH Deposit 

200.00 

1181.00 

9111111402 ADP TOTALSOURCE PAYROLL 

250821 

0B-21.25 

Wilhdrawal Transfer 

-339,36 

841.64 

To your loan 620 PHONE PAYMENT TRANSFER PER ANDREA 

08-21-25 

Wilhdrawal Transfer 

-18.62 

823.02 

Ta your share 

1 PHONE TRANSFER PER ANDREA 

08-21-25 

ATM Withdrawal 

-143,00 

680.02 

4 

J 

PAI ATM 45 E MUSKEGON AVE MUSKEGON Mi 79632 

or 

08-22-25 

ACH Withdrawal 

-451,62 

218.40 

4222105996 MORTGAGE SERV CT MTG PAYMT 082125 

08-24-25 

ATM Withdrawal 

-203.50 

14,80 

Admiral 5757 11 E MUSKEGON AVE MUSKEGON Mi 76532 

08-28-25 

Insufficient Funds Fee 

-28.00 

-18,10 

Non-sufficient funds for $47.30 1681097692 SENIOR 

08-31-25 

New Balance 

me 

132. 10, 

Dividends of $0.63 have bean paid year-to-date for this Suffix. 

Loan 520: Used Auto 

Annual 

Parcentape Rate 

17.740% 

Daily Periodic Rate 

0,04860% 

Current Payment 

Due: 

08/18/2025 

for 339,36 

Next Payment 

Dus: 

10/18/2025 

for 339.36 

Balance Subject 

To 

Posted 

Transaction Description 

Amount 

Interest 

Fee 

Interest Rate*’ 

07-31-25 Previous Balance at 17.74% APR 

3249.78 

08-07-25 Loan Payment Transfer 

339.36 

75.82 

16.97 

3003.21 

From your share 100 

08-21-25 Loan Payment Transfer 

) 

339,36 

20.43 

0.60 

2684,28 

From your share 100 PHONE PAYMENT TRANSFER PER ANDREA

‘ANDREA RACQUEL HARMON 

1341 4TH ST 

MUSKEGON Mi 

48441 

From: 

08-61-25 

To! 

08-31-26 

fags 

{ 

of 

2 

Member # 

Statement Summary 

Beginning 

Ending 

Share Agcount Description(s) 

Suffix 

Balance 

Balance 

Regular Checking 

St 

49,33 

0.00 

Regular Share 

$100 

223.55 

«13.10 

Used Auto 

L620 

3,249.78 

2,684.28 

Checking 1: Regular Checking 

Savings 100: Regular Share 

Posted 

Eff Transaction Description 

Check 

Amount 

Balance 

47-31-25 

Provious Balance 

49,33 

08-07-25 

Wiihdrawal Transfer 

-3%.95 

9.38 

To your share 100 

08.08.25 

Insulficient Funds Fee 

-28,00 

-18.82 

Non-sufficlent funds for $167.57 1005005023 NATION 

08-21-25 

Shara Deposit Transfer 

18.62 

0.00 

From your share 100 PHONE TRANSFER PER ANDREA 

08-31-25 

New Balance 

meee 1,00 

Dividands of $0.00 have heen pald year-to-date for this suffix. 

BE 

LE 

Account Summary 

LR ds 

Balance 

as 

of 

last statement 

48,33 

— 

t Deposits 

and othar credits 

18.62 

) 

0 Checks 

posted 

0.00 

ha 

2 Other withdrawals 

-67.95 

Balance 

as 

of 

this statemant 

0.00 

Total For This Period 

Total Year-to-Datn 

Total Overdraft Fees 

a.00 

0.00 

\_ Total NSF Fees 

28.00 

} 

58,00) 

le eeletel 

Summary of Deposits 

ssemreumnEn 

Eff Date 

Amount 

Eff Date 

Amount 

Eff 

Dats 

Amount 

Eff Date 

Amount 

08-21-25 

18.62 

Pasted 

Eff 

Transaction Description 

Amount 

Balance 

07-31-25 

Previous Balance 

223.65 

08-01-25 

ACH Withdrawal 

-31.64 

191.9% 

47-0246511 MUTUAL OF OMAHA AUG INSPRMZ50801 

98-03-25 

ATM Withdrawal 

-43.50 

148.414 

1010 Sports Bar 3650 Alrline Norton Shores MI 7963 

08-08-25 

ATM Withdrawal 

-44.00 

104.41

ANDREA RACQUEL HARMON 

Fagg 

1 

of 

2 

1341 4TH 8T 

MUSKEGON MI 

40441 

From: 

07-01-25 

To! 07-31-26 

[Member # 

XXXXXX84Q 

Statornent Summary 

Beginning 

Ending 

Share Account Descriptions) 

Suffix 

Balanca 

Balance 

Ragular Checking 

51 

38.83 

49.33 

Regular Share 

5100 

281.49 

223.55 

Used Auto 

L520 

3,249.78 

3,249.78 

Chocking 1: Regular Chocking 

] 

Posted 

Eff 

Transaction Description 

Check 

Amount 

Balance 

06-30-25 

Previous Balance 

38.83 

07-09-25 

Insufficient Funds Fea 

-28.08 

10.83 

Non-sufficlent funds for $449.07 1005605023 NATION 

07-11.25 

Shara Deposit 

831.00 

641,83 

a7-11.28 

HB Deposit Transfer 

80.00 

921,83 

From your shars 100 Morigage Conf #: 461327478276 

07-14-25 

ACH Withdrawal 

-917.480 

4,33 

4222195998 MORTGAGE SERY CT MTG PAYMT 071125 

07-15.25 

HB Deposh Transfer 

45.00 

49.33 

From yeur share 100 Phone bill Conf 

# 48163550638 

07-31.25 

New Balance 

30, 

33 

Dividends of $0.00 have been pald year-to-data for this suffix. 

( 

3 

Srmmemane 

Account Summary 

Pa. 

: 

Balance 

as of 

last statement 

38,83 

3 Deposits 

and other cradits 

956.00 

0 Checks posted 

0.00 

2 Other withdrawals 

-B45.50 

Balance 

as of 

this statament 

49.33 

TY otal 

For dls Period | Tata Verto 

bate 

Total Overdraft Fees 

. 

4.04 

0.00 

Total 

NSF Faes 

28.00 

. 

28.00 J 

weemsvemna. 

Summary of Deposits 

mre mmmm mann 

Eff Date 

Amount 

Eff Date 

Amount 

Eff Date 

Amount 

Eff Date 

Amount 

a7-11-25 

831.00 

07-11-25 

80.00 

07-15-26 

45.00 

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

06-30-25 

Previous Balance 

2681.49 

67-01-25 

ACH Withdrawal 

-31.64 

249.85 

47-0246511 MUTUAL OF OMAHA JUL INSPRM250701

“ANDREA RACQUEL HARMON 

1341 ATH ST 

Page 

1 of 2 

MUSKEGON MI 

40441 

From: 

06-01-25} 

To; 

06-30-25 - | Member # 

Statement Summary 

Beginning 

Ending 

Share Account Descriptionts) 

Suffix 

Balance 

Balance 

Regular Chacking 

$1 

0.00 

38.83 

Regular Share 

5100 

453.04 

281.49 

Used Auto 

L520 

3,499.01 

3,249.78 

Chocking 1: Regular Checking 

Posted 

Eff 

Transaction Description 

Eheck 

Amount 

Balance 

05-31-25 

Previous Balance 

0.00 

06-09-25 

ACH Withdrawal 

-2,99 

-2.99 

000000160 PMNTUS SVC FEE SERVICEFEE250606 

08-09.25 

ACH Withdrawal 

-146.00 

-148.99 

8360442210 CONSUMERS ENERGY ENERGYBILL 250606 

08-09-25 

ACH Withdrawal 

-118.08 

-266.99 

0000420792 DTE Energy 800477474 250806 

08-09-25 

ha Share Deposit 

300,00 

33.01 

100 

06-11-28 

ACH Withdrawal 

-448,07 

-418.,08 

1005005023 NATIONAL GENERAL PAYMENT 

JUN 09 

06-11-25 

Overdraft Share Deposi 

454,89 

38.83 

8-100 

CJ 

06-30-25 

New Balance 

eed, 

83 

ha 

Dividends of $0.00 have been pald year-to-date lor this suffix. 

meme 

Account Summary 

mwa 

Balance 

as 

of 

last statement 

0.00 

2 Deposits 

and other cradits 

784,89 

0 Chocks 

posted 

0.00 

4 Other withdrawals 

«716.08 

Balances 

as 

of 

this statement 

38.83 

[ 

oo 

| Total For This Peried | _ Total Yearto-Date |) 

Total Overdraft Fees 

4.00 

0,00 

Total 

WSF Fees 

© ~~ 

| TTT aoe TTT 

0.08 

Summary of Deposits 

~~ 

weuas Mam 

Eff 

Date 

Amount 

Eff Date 

Amount 

ETf 

Date 

Amount 

Eff Date 

Amount 

06-09-25 

300.00 

06-11-25 

454,89

"ANDREA RACGLEL HARMON 

1341 4TH ST 

Page 

1 of 2 

MUSKEGON Mi 

48441 

From: 

05-01-25 “| To! 

05-31-25 

| Member # 

 XXXXXXB40 

Statement Summary 

Baginning 

Ending 

Share Account Description(s) 

Suffix 

Balance 

Balance 

Regular Checking 

51 

0.00 

0.00 

Regular Share 

$100 

2,814.14 

453.04 

Used Auto 

L620 

3,499.01 

3,499.04 

] 

Chocking 1: Regular Checking 

Posted 

ETT 

Transaction Description 

Check 

Amount 

Balance 

05-10-25 

Provious Balance 

0.00 

95-10-26 

New Draft Daposit 

0.60 

0,00 

06-31-25 

New Balance 

eee 1.00, 

Dividands of $0.00 have been pald year-to-date for this suffix. 

Smee. 

Acoount Summary 

a.m 

Balance 

as 

of 

last statement 

0.00 

0 Deposits 

and other credits 

0,00 

0 Checks posted 

0.00 

0 Other withdrawals 

0.00 

Balance 

as 

of 

this statement 

0.00 

¢ N 

[~ TTY 

oll Fer This Period | Total Yeardo-Data 

wi 

Total Overdraft Cees 

6.00 

0.00 

| Total NSF Fees 

ee 

0,00 

Savings 100: Regular Share 

Posted 

ETT 

Transaction Description 

Amount 

Balance 

04-30-25 

Previous Balance 

2514.14 

05-01-25 

ACH Deposit 

200.00 

2714.14 

9111111102 ADP TOTALSOURCE DIRECT DEP250501 

05-01-25 

ACH Withdrawal 

-31.64 

2682.60 

47-0246611 MUTUAL OF OMAHA MAY INSPRM250501 

06-02-25 

ATM Withdrawal 

-500,09 

2182.59 

BEST FINANCIAL CREDIT UNI 881 THIRD ST. MUSKEGON M 

05-05-25 

ATH Withdrawal 

-200.00 

1882.60 

BEST FINANCIAL CREDIT UN1 981 THIRD ST, MUSKEGON M 

05-08-25 

ACH Withdrawal 

-256.07 

1726.43 

1005005023 NATIONAL GENERAL PAYMENT MAY 06 

05-10-26 

ATM Withdrawal 

-200.00 

1528.43 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLVD. MU 

05-13-25 

ATM Withdrawal 

-200.00 

1328.43 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

06-15-25 

ACH Deposit 

200.08 

1526.43

"ANDREA RACQUEL HARMON 

1341 4TH ST 

Page 

1 of 

2 

MUSKEGON MI 

49441 

From: 

04.0125 

| To. 

04-30-25 

| Member # XXXXXX840 

Statement Summary 

Baginning 

Ending 

Share Account Descriptions) 

Suffix 

Balance 

Balance 

Regular Share 

$100 

242.8% 

2,514.14 

Used Auto 

L620 

4,367.84 

3,499.01 

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

03-31-25 

Previous Balance 

212.81 

04-01-25 

ACH Withdrawal 

-31.64 

181.17 

A47-0246611 MUTUAL OF OMAHA APR INSPRM250401 

04-03-25 

AGH Depnsit 

200,00 

ap1.47 

9131111102 ADP TOTALSQURCE DIRECT DEP2&(M03 

04-10-25 

Comment 

0.00 

381.47 

1005005023 NATIONAL GENERAL PAYMENT APR 00 

04-11-25 

ACH Withdrawal 

- 256,85 

124,52 

1005005023 NATIONAL GENERAL PAYMENT APR 10 

04-16-28 

ACH Deposit 

976.00 

1100.52 

9031036360 S84 TREAS 310 XXS0C SEC 041626 

04-18-25 

Withdrawal Transfer 

-339,36 

741.18 

To your loan 520 Per Andrea Request 

— 

04-17-28 

ACH Deposht 

200.00 

961.18 

( 

J 

8111111102 ADP TOTALSOURCE DIRECT DEP260417 

A 

04-17-28 

ATM Withdrawal 

- 800.00 

161.18 

BEST FINANCIAL CREDIT UNI 881 THIRD ST, MUSKEGON M 

04-17-28 

ATM Withdrawal 

-160.00 

61,16 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

04-21.25 

AGH Deposit 

5275.00 

5340.18 

REF*HARM KANSAS 12/2024 

TAX REFUND" 3019111736046 

04-22-25 

ATH Withdrawal 

-500.00 

A840, 18 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON M 

04-24-25 

ATW Withdrawal 

-800.00 

4040.18 

BEST FINANCIAL CREDIT UN! 981 THIRD ST. MUSKEGON M 

04-24.25 

ATM Withdrawal 

-200,00 

3840.16 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON M 

04-26-25 

ATM Withdrawal 

-300,08 

3540.16 

BEST FINANCIAL CREDIT UNI 1888 E. SHERMAN BLVD. MU 

04-28-25 

Withdrawal Transfer 

-339.36 

3200.80 

To your lan 520 Per Andrea Request 

04-28-25 

Withdrawal Transfer 

-339,36 

2861.44 

Tao your loan 520 Per Andrea Request 

04-28.25 

ACH Withdrawal 

-47,30 

2814.14 

1681097892 SENIOR LIFE INSU PREMIUM 250428 

04-30-25 

ATM Withdrawal 

-300,00 

2514.14 

BEST FINANCIAL CREDIT UN! 981 THIRD ST. MUSKEGON M

+ ANDREA RACQUEL HARMON 

1341 ATH ST 

Page 

1 

of 

2 

MUSKEGON MI 

40441 

From: 

03-01-25 

{To 

03-31-25 

| Members ff KXXXXX84D 

Statement Summary 

Beginning 

Ending 

Share Account Descrigtion{s) 

Suffix 

Balance 

Balance 

Regular Share 

$100 

525.52 

212.814 

Used Auto 

L620 

4,367.64 

4,367.64 

. 

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

02-28-25 

Previous Balance 

525.62 

03-03-25 

ACH Withdrawal 

-31.64 

493,08 

47-0248511 MUTUAL OF OMAHA MAR INSPRM260303 

03-03-25 

Share Withdrawal 

-150.04 

343,88 

03-06-25 

AGH Deposit 

200,00 

543.88 

9911119102 ADP TOTALSOURCE DIRECT DEP260308 

03-13-25 

ATM Withdrawal 

-100.08 

443.88 

BEST FINANCIAL CREDIT UNI 881 THIRD ST, MUSKEGON M 

63-16-25 

ATM Withdrawal 

-100,00 

343.88 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

03-15-25 

ATM Withdrawal 

-80,00 

283.68 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

03-17-26 

Share Withdrawal 

-100.00 

183.838 

co 

03-18-25 

ATM Withdrawal 

-40.00 

143.88 

( 

} 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

ot 

03-18-28 

ACH Deposit 

976.00 

1119.88 

6031036360 SSA TREAS 310 XXS0C SEC 031925 

03-20-25 

ACH Deposit 

200.900 

1319.88 

9111111102 ADP TOTALSOURCE DIRECT DEP260320 

03-20-25 

ATI Withdrawal 

-80.00 

1269.88 

BEST FINANCIAL CREDIT UN{ 981 THIRD ST. MUSKEGON A 

03-26-25 

ACH Withdrawal 

-47.30 

1212.68 

15681007892 SENIOR LIFE [NSU PREMIUM 

250328 

03-28-25 

ATH 

Withdrawal 

-500,00 

712.88 

BEST FINANCIAL CREDIT UN! 281 THIRD ST. MUSKEGON M 

03-29-25 

ATM Withdrawal 

-500.00 

212.588 

BEST FINANCIAL CREDIT UNJ 981 THIRD ST, MUSKEGON M 

03-31-25 

Dividend 

0.23 

212.81 

APYE: 0.15% on Average Balance of $638.17 for 80 D 

03-31-25 

New Balance 

ee 212,81 

Dividends of $0.23 have been pald year-to-date for ths suffix.

« ANDREA RACQUEL HARMON 

1341 ATH ST 

Page 

1 of 2 

VUSKEGON MI 

40441 

From; 

02-01-25 

| To! 02-28-26 

[Members # XXXXXX840 

Statement Summary 

Beginning 

Eading 

Share Account Descriptionts) 

Suffix 

Balance 

Balance 

Regular Share 

5100 

717.82 

525.52 

Usad Auto 

L§20 

4,643.80 

4,367.64 

Savings 160: Regular Sharo 

Posted 

Eff 

Transaction Description 

Amount 

Balance 

01-31-28 

Previous Balance 

717.82 

42-03-25 

ACH Withdrawal 

-31.84 

686.18 

470246511 MUTUAL OF OMAHA FEB INSPRM250203 

02.03-25 

ATM Withdrawal 

-250.00 

435.18 

BEST FINANCIAL CREDIT UNI 1888 E, SHERMAN BLVD. MU 

02-06-25 

ACH Deposit 

200.00 

636.14 

9111111102 ADP TOTALSQURCE DIRECT DEP260206 

02-09-25 

ATM Withdrawal 

-100,00 

536,18 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

02-42.25 

ATM Withdrawal 

-200.08 

336.18 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

02-15.25 

ACH Deposit 

976.00 

1312.18 

9031736013 SSA TREAS 310 

XX 800 SEC 021926 

ey 

02-19-25 

ATM Withdrawal 

-600,00 

712.18 

( 

} 

BEST FINANCIAL CREDIT UNI 981 THIRD ST, MUSKEGON M 

ee 

02-20-28 

ACH Deposit 

200.00 

912.18 

5111111102 ADP TOTALSOURCE DIRECT DEP260220 

02.24.25 

Withdrawal Transfer 

-339.36 

572.82 

To your loan 520 Per Andrea Request 

02-28-25 

ACH Withdrawal 

-47.34 

525.52 

15810876892 SENIOR LIFE INSU PREMIUM 250228 

42.28.25 

New Balance 

nn 200.08, 

Dividends of $0.00 have been pald year-to-date for this suffix. 

Loan 520: Used Auto 

Apnual 

Parcantage Rate 

17.740% 

Daily Pariodic Rate 

0, 04860% 

Current 

Payment 

Due: 

03/18/2025 

for 339.236 

Noxt Payment 

Due: 

04/18/2025 

for 339.36 

Balance Subject 

To 

Posted 

Transaction Description 

Amount 

Interest 

foo 

Interest Rate** 

01-31-25 Pravious Balance at 17.74% AFR 

4643.80 

02-24-25 Loan Payment Transfer 

339.36 

63.20 

0.00 

4367.64 

From your share 100 Per Andrea Request

» 

ANDREA RACQUEL HARMON 

1241 4THST 

MUSKEGON ME 

49441 

From: 

01-01-25 

To: 

01-31-28 

Page 

1 

of 

2 

Member # 

XXXXXX840 

Statement Summary 

Baginning 

Ending 

Shars Account Dascription{s) 

Suffix 

Balance 

Balance 

Regular Share 

S100 

66.12 

717.82 

Used Auto 

L&20 

4,909.19 

4,643.80 

Savings 100: Regular Share 

Posted 

Eff 

Transaction Description 

Amount 

Balancs 

12-31-24 

Previous Balance 

80.12 

01-02-25 

ACH Withdrawal 

-81.64 

28,48 

47-0246511 MUTUAL OF OMAHA JAN INSPRM250102 

01-08-25 

ACH Deposit 

200.00 

228.48 

9111111102 ADP TOTALSOURCE DIRECT DEP250109 

01-15-25 

ACH Deposit 

976.00 

1204.48 

9031736013 SSA TREAS 310 XXS00 SEC 011525 

01-23-28 

ACH Deposit 

200,00 

1404.48 

9111111102 ADP TOTALSOURCE DIRECT DEP250123 

01-27-25 

Vidthdrawal Transfer 

-339.386 

1065.12 

To your loan 520 Per Andrea Request 

01-27-28 

ATI Withdrawal 

-100,00 

965,12 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON M 

01-28-25 

ACH Withdrawal 

-47,30 

917.82 

1581097802 SENIOR LIFE INSU PREMIUM 

260128 

01-28.25 

ATH Withdrawal 

-200.00 

717.82 

BEST FINANCIAL CREDIT UNI 981 THIRD ST. MUSKEGON 84 

01-31-28 

New Balance 

ee BAL. B2 

Dividends of $0.00 have been pald year-to-date for his suffix, 

Loan 620: Used Auto 

Annual 

Percentage Rate 

17, 740% 

Daily Periodic Rate 

0.04860% 

Current Payment 

Due: 

02/18/2025 

for 339.38 

Next 

Payment 

Due: 

0371842025 

for 339.38 

Balance Subject 

To 

Posted 

Transaction Description 

Amount 

Intsrest 

Fee 

Interest Rate’ 

12.31-24 Provious Balance at 17.74% APR 

4909.19 

01-27-25 Loan Payment Transfer 

339.36 

73.97 

o.00 

4643.80 

Fram your share 100 Per Andrea Request 

01-31-25 Now Balance at 17.74% APR 

"This Is the unpald balance each day after all payments and credits 10 that balance 

have been subtracted and all additions to that balance have been mada, 

—:T YI) 

Ownership of share. deposit and cerlificate accounts shown an this statement Is not transferable except on the books of the credit union. 

Rice: San fast gga fos mpedat ideemavion separ

po, 

bd 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Andrea Harmon 

, 

MICHIGAN TAX TRIBUNAL 

Petitioner(s) 

v 

MTT Docket No. 26 001393 

City of Muskegon 

, 

Respondent(s) 

PROOF OF SERVICE 

Wesley Dault 

states that on 6/17/2026 

he/she 

[Name of person serving/mailing petition] 

[date of service] 

served a copy of the MTT SC Answer Form 

relative to the above-captioned matter upon: 

[Provide name and address of the party/people being served] 

Michigan Tax Tribunal 

PO Box 30232 

Lansing MI 48909 

Ps gs 

[Signature of person who is serving/mailing copy] 

Wesley Dault 

[Print/type name of person serving/mailing copy]

Mush 

iy 

| 

Suite zur — 

Muskegon, MI 49442 

Michigan “Ta

PD Box 

302

Lown SN@G 

wp 

MI

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