Ross.pdf

Tiffany M Ross, Petitioner V City Of Detroit, Respondent · 26-000255-TT

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1/14/26, 1:22 PM 

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RECEIVED 

JAN 26 2026 

MICHIGAN Tax TRIBUNAL 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

ORLENE HAWKS 

GOVERNOR 

LANSING 

DIRECTOR 

TAX APPEAL PETITION FORM 

NON-PROPERTY TAX 

Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. notice of 

action taken by the Michigan Department of Treasury) with this Smali Claims Petition, if applicable. If you do not submit this document, 

vou may be held in default. 

Section 1: Ey Contact Information 

First Name Tefan 

M 

Koes" Name 

"CEE 

By 

Street, A 

Wheres te) 

OS Cy 

Hela 

“eh + 

it 

fan 

Bo oy 

Tel 2" 

Fax “po 

33) [JY ~[20D 

“tan not enter unless you 

want oN to send {" correspondence via e-mail) 

Ir 

NAY 

q ONL 0 

Section 2: Petitioner's AtomeyiAuthorized Representative’s Contact Information 

First Name 

Last Name 

Firm Name (if any) 

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

City or Town 

State 

ZIP Code 

Telephone Number 

Fax Number

1/14/26, 1:22 PM 

image2 jpeg 

SEA 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

ORLENE HAWKS 

© 

GOVERNOR 

LANSING 

DIRECTOR 

Section 3: Explain the Reason for this Appeal 

T wank-fo male tas appeal because 

my 

paperworc west received. T needed 

0 Yo refum rms and they werett 

Section 4: Assessment Information 

"Oe 

Tax Being en) 

i 

Ne 

Assessment Number(s): 

Checy all DEC being 

ES 

Tax 

[W] Interest 

[I] Penalty 

a Refund of taxes paid in the amount of §. 

oe action prompted this appeal: (Chack one) 

Finat Assessment (Final Bill for Taxes Due) 

[Wl] Notice of Intent to Assess (Bill for Taxes Due) 

[Nl] Letter Denying or Adjusting Refund 

J other 

If “other,” explain; 

List the Amounts being levied: 

List the refund sought, if any: 

Tax 

Interest 

Penally 

List your Contentions: 

Tax 

Interest 

Penalty 

Fee Information

> 

Coleman A. Young Municipal Center 

2 

Phone: (313) 224-3035 

ar Raviaw 

Woodward Avenue, Suite 105 

Fax: (313) 224-4576 

Detroit, Michigan 48226 

www.detroltmi.gov 

LETHE 

December 9, 2025 

DISTRICT: 4 

ROSS, TIFFANY 

10015 BEACONSFIELD 

DETROIT MI 48224 

RE: 

2025 DECEMBER BOARD OF REVIEW PETITION NUMBER: 

 D-63158 

Parcel ID: 

21066157. 

Property Address: 

10015 BEACONSFIELD 

Property Classification: 

401 

In accordance with General Property Tax Act MCL 211.7u, BY REASON OF POVERTY, The December Board 

of Review has considered your 2025 

homeowner's property tax exemption application regarding the above- 

described property. 

The homeowner's property tax exemption has been DENIED. (Reason for denial below) 

Income Not Provided 

* YOU ARE RESPONSIBLE FOR PAYING FOR THE 2025 SUMMER and WINTER TAXES.* 

If you disagree with the Board of Reviews decision, further appeal may be made to the Michigan Tax Tribunal 

within 30 days of this notice. Information on how to appeal including the petition form are available online at 

www. michigan.gov/taxtrib .You can print the petition that applies to your appeal and mail the completed form 

along 

with 

this 

notice 

to 

Michigan 

Tax 

Tribunal 

at 

P.O. 

Box 

30232, 

Lansing, 

Michigan 

48909. 

Before Appeal 

After Appeal 

2025 

Assessed Value 

33800 

33800 

2025 

Taxable Value 

33800 

14204 

If you have any questions regarding this notice, please contact the City of Detroit Office of the Assessor at 

313-224-3035.

1/14/26, 1:22 PM 

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8:37 

if 6G [652 

2024_MI_RETURN_2025-1... 

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Done 

re 

Date’ 

Progure’s Sigratre 

- 

Owe 

Pripanes Boaaness Mame, 33314 add Telephon Mander 

B10 0f 11 

= 

. 

- 

~8 Treason 

1 

G4cusa ry redom 

with my froparse. 

# yes #00 B50 Hng Foem 85-1040, inchade this korm being 

1. MH nol, mad this hrm bo: Michigan Department 

of Trassiy, Lansing, M1 43956 

+1201 2024 

25 03 

27 

7 

Harlan Depirimest Teoamry (Rev. 0539) Page 

1 612 

Attschnsent 08 

2024 N MICHIGAN Home Heating Credit Claim MI-1040CR-7 

of Pati Act 285 2 138, 41. 

Amended Return |} 

Flog rosa 

ark) our six 

by Soplambat 

36, 

r 30, 

2025. Yype or pring i Mus or black ink 

 Fracs Frthars 

CR 

ED 

THRE 

Ea Sar; Ws Torte (SEAT 

TIFFARY 

u_| 

ross 

Fo Kk Rate, Semis FORT 

EI 

ri 

TER 

EEE 

Toa Aaa: uomter, Benet, or PO. Goi) 

10015 BEACONSFIELD 

Coy 

ox Foun, 

ER Er 

TCH 

Co Toe FE 

DETROIT. 

MI 

38224-2534 

82 

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ode VR 

© Sites sien 

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100 

2024 

FILING STATUS: 

©. 2024 RESDERGY STATUS. 

tbo 

wer 

dain 

of eigen 

rensrer 

Choc coe. 

Crmck ad that apply. 

hp 

Amr 

ere esa 

a. {K}saze 

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mw] 

— 

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b. [J Marea 

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b. 

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a] 

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TO: 

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. 

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ig sepuaiey 

eo 

[)poaver Resssent 

) 

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Bia Bpptes 1 yo. 

10. Grecia Baxi your basing osts wg comedy chased yt. 

16. Exemptions, Ener he 

[a of you dependents and complets Ene 17 

tent (soo instructors)... 

AR 

| 

[rbr 

vie 

os 

and rye 

11. Check 

iho box you want Io bb refered 10 chee govervmont 

Personal Exemption 

asst 

programms to wach yous may ost 

0 

| 

Troe 

or pon hy 

a 

1 

; 

12, heck the boc you or your spouse now recsho 

Dea, Disabled 

or BIng............. 

bl 

: 

Supplemental Security Income (SSH.... 

- 

Quuified Disabled Veteran 

..... 

C. 

Hrnber 

of chideen ring wih 

13. 

ENTER YOUR AGE i you are aga 60 of older... FT] 

+ Ages 2 and unde 

oa 

it 

14, Amount 

you wero baled for 

o 

b] 

heat between 311172023 

and tOBV2024 

.... 

: 

15. 

If you ved in one of these CARE faciitios (not & senor apartment 

i 

Ay 

complex) for 81 of 2024, check he box 8nd STOP here, se instr tions. 

i 

Dependent adults, othed than 

H 

a. {] Hursiog Home 

b.T] AdutForter 

Caro Homa 

yoo spouse, who've 

wih you... 

g 

. [ 

ticonsed tome for the Ages 

af] sutstanca 

Abuse Center 

Add nos 163 Cwough 

16g... 

4 

17. ToUMUSY rs bl Ds, Soil Sean mbsf 3 teh ms cst ort dsp 

bien 1) 

You MUST also chock each box fo indicate if he household aprmber is & dopondenl snd US, 

SE er 

A. Houshold Maabar's Name 

8, $o5ial Sorry Pumbes 

©. Age in Years 

U3, sities 

og quadtnd 

atisn 

TAYLOR H ROSS 

7 

X 

X 

TYRESE 

C ROSS 

4 

X 

X 

TEYANA K ROSS 

1 

X 

X 

H# you have mock than four 

(4) household members, complete Hors Heating Credit Claim M 1040CRT Suppéermentsl (Form 4476). 

18.[} You must check this box to receive a refund from your haat provider for 

+1201 

2024 

37 

01 

27 

6 

any overpayment (0 your heat account, H efigitle {see instructions).

1/14/26, 1:22 PM 

imaged.png 

8:37 

2024_MI_RETURN_2025-1... 

~ 

Done 

"7 odmgsex) 

for a3 of 2024, check the box aad STOP here, fod instructions, 

souks, other than 

8. {J ttursing Home 

b [Adi roster Core Home aa... 

¢ 

[7] Licensed Homa for the Aged 

o.[} substance 

Abuse Center Add Tes 168 bwough 

16g... 

h 

4 

17. 

You MUST ener bakonw the nama, gras 

umber nx 39 of af hausetiid mocha 

(except for fer and tpousa tam ica 

1). 

Seas ¥ the household member 3.8 dependent and L 

You SUSY 850 check each 

rey 

A. Household Members Nama 

B. Sactal Security Numer 

C. AQ In Years 

Dependant 

US, ehrizen ed 

ry 

: 

TAYLOR M ROSS 

2 

x 

x 

: 

TYRESE 

C ROSS 

4 

x 

x 

: 

TEYANA K ROSS 

1 

X 

x 

# you have more than four {4} 5iousshold members, completly Hom Heating Credit Claim &41.10/0GR-7 Supplemental {Form 4376). 

18. [] You must check this box 10 receive a refund from your best provider tor 

+1201 2024 

37 01 

27 

6 

any 

to your heat 

Wetigitte (ves 

OUVEIIERT, 

Paga 7042 

Flas Ful Soci Seaurly Murer 

TOTAL HOUSEHOLD RESOURCES. If filing a joint return, include income from bol 

a 

fing 

separately, you must Include Form 5049 avaliable on Treasury's 

19. Wages, safasies, 5ps, sick. ske 

and SUB pay. ete. 

18 

0]og) 

. 

26. 

0]oo, 

2. Atiotere 

snd dridend income. 

{inchuding nontaxable interest)... . 20. 

900] 

2m 

0Joo 

¥ 

2a. Ket business income (Pekudng net 

28. Unergionmnent 

H 

farm income). H negative, eter 0'., 

21. 

18,921 

ES 

28. 

0Joo 

: 

22. 

Mot maypy of rork income. if 

29. Git received 

or apénses. 

negative, enter "0" 

22. 

0}o0 

paid Ot yout behald...oo.o.. 

29. 

4) (6) 

: 

2. 

Reliomont persion, sans, and 

30. 

thes pontasabla kicome. 

1RAbenefds... 

. 

0{00] 

Desert: 

0. 

00] 

24. 

Capital gains Joss. copast losses 

31. Worked Avedecans’ dsabity 

(360 instructions)... 

24, 

000; 

CETEROBBONPEASN 

3t 

joo] 

25. 

Alimony and other taxsble income. 

32. FIP snd ler MDHISS benatts 

Desai: 

25. 

00] 

D0 tcl ieioss hod Bssintanca)l 

3p. 

O]og] 

33. AddEnes 

10 tough 32... 

-. 

- 

SUBJOTAL_ 

33. 

18,8210] 

: 

34. 

Other adjustments, 

: 

Descrvo:FED_AGX ADJ 

»M 

1,337 

H 

3. Hascalrotanc 

ot HMO perms ps. 

3s. 

oko 

H 

36. 

Adgknes Baad 

36.. 

ol 

cee 

3. 

1. 337]o0 

: 

37. Subbact 

tine 365 from bp 23. 

...TOYAL HOUSEHOLD RESOURCES. 

37. 

17,584]p0) 

H 

Standard and Alternate Home Healing Credit Cr 

H 

35. 

STANDARD CREDIT. Standard atimance from Table A (200 instr)... 

38. 

1,202]o0; 

i 

39. 

Muttply fino 37 by 2.5% (0.035) (f negative, enter 0"). 

615]00) 

40. 

Subtract be 39 from na 38 for standard cred amount. 

i Ina 39 Is 

greater 

than Ena 38, enter 0" 

40, 

587]00) 

41. 

you chacked the box on ba 10, malty the amount on tne 40 by 60% (0.50) Enter hare 

| 

| 

and 

on fine 48. (1 approved, the fal amount ag shown on tine 47 ks Issued a Beech) 

41. 

00 

42. ALTERNATE CREDIT, Totat heating costs fom 

600 14.0 $3,608 (WCAEVEE i5 135) 

... 

§ 

42 

0loo 

43. 

WAiply Bo 37 by 1% (0.11) (4 negate, enter 07) 

43 

0) 

44. Sutiruct 

Eng 43 from Ee 42. Hine 43 Is greater than koe 42, eater 0", 

44. 

oo! 

45. 

Wullipdy To 44 by 70% (0.70) fof a%mal6 G16dE 

AMO... 

46, 

£3 

46. 

Hf you completed tne 41 ontet that amour hace. Otherwise enter (he larger of Eves 40 or 45 Piva... 46. 

587]0) 

47. 

HOME HEATING CREDIT, Mulioly ing 

46 by 52% (0.57) ... 

. 

47. 

30510] 

DECEaTEd TAXDIYEL. Foc ser Sense ot shor cms 1.237 

im dn ion] PEEpAIY SorSBeADN. Soins 

ons 

ri 

Po 11 

ENTER DATE OF DEATH OLY, Exsia 04-15 2028 (ALDI 

YYYY) 

Job 

iV 

overt inbhupeibrirel 

sist brtatridi 

| 

{ 

Fe PI TER we 

re 

Soames 

Taxphyor Cortiication. tcetys uo pe 

cf pase otf bic i 52 etd Fregacers Mir pred td) 

others I Fs ond somplete £5 hy best of my Awad 

SELF~PREPARED. 

ee 

os 

Frees Sates 

Spinia's Sgretay 

Oe 

Porgaces Baiss Nod, ASdrie ard Telephon Nomdor

1114126, 1:22 PM 

imageb.png 

8:37 

ail 56 Gd 

2024_MI_RETURN_2025-1... 

~ 

Done 

Continus 

on page 3. This form cannot ba 

EJ fe] of 11 

219 

Ppeocesaed H pages 2 and 3 are nol compiated and Incloded. 

POUMABER Page 33 

Ap — 

: 

PART 3: HOMEQWNERS WHO MOVED IN 2024. Report on ines 45 sd 46 tho 

for which you 

i 

13 Cs) 

ing 

a crest Homesteads with a taxable value greater than $160,700 are not eligible for this credit, 

: 

8; 

VES 10 Fad 01 tcl 31. 004, § Seren Fon Te5critd on bot § Dhami, Steet, Cay, Str. 

28 Code) 

Toisas 

TF Rakes of omar sd va 

(moved Fore) Surv 2028 (Reis, Sel Coy, Bue. 28 Coit) 

Tore Vow 

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

| Abiguedinte 

LB Need From 

47. umber of days occupied (iotal cannol ba moce than 366)... 

. 

48. Divide Ee 47 by 366 and enter poroentage hers 

% 

[2 

49. Propary Late 

levied for calendar year 2024... 

00 

00] 

50. Prorated property thxes. Mutigty kno 45 by he parcentages on én 49... 

[00 

00) 

51. Taxes slighly 

for credit. 

As6 five 50, cokms 

A and B. Enter hero and on Fe 10... 

51, 

00) 

PARY 

ENTERS. 

poo received subsidized tema! 835sance. only enter ths amount you 

paid. 

82. 

a 

. 

© 

® 

E 

Adres of Komenissd Vou Reread 

Langouner's Nima sod Abbess 

De 

Phar, 

Sreot Apt ¥, Coy Sate, 29 Code) 

(City. Bute £7 

IP Cove) 

Reread 

Fart 

Yok Peed Pad 

10015 BEACONSFIELD ST 

T.TURNER 

DETROIT, 

HY 

48224 

19015 BEACONSPIELD 

ST) 

12. 

159 

foo 

9,000]00! 

[00] 

00} 

63. 

Tokai rend you paid (not rave than 12 months). Add total rent §o4 €3ch peaod. Erdae hese and on fine 31. 

53. 

2.000100] 

PART 5: ALTERNATE HOUSING FACILITIES (ses Instructions) 

$4. 

1 you ved in cae of thase types of lacaifes for a3 of past of 2024, check the appropriate 

box and ses Instructions. 

: 

a. [J subsidized Housing: complete 

tne 55. Enter result anne 11. 

b. [] Servicn Fea Housing: complete Enea 55 3nd 86. 

: 

55. 

Eeratoalront you pid 1 202 hi 

esdnt on Acne Hao bi 

it ste 

amocnts paid on your beh by a gorearvient 

agency... 

55, 

00 

66. 

you checked box 4b, mukiply Ene 55 by 10% (0.10) {ses instactions). Enter aes snd can 

0... 

56. 

00] 

7. 

Special Housing: 

i you fives 

bs ona of these types of faciities for 84 or part of 2024, check the 3ppofeiato box 

(see knstructions). 

a. {] Cooperatice Housing 

b. {] Home for the Aged 

& [J hursing Home. 

0. 

J AvutFoster 

Core Home 

0. [] Paid Room and Bosed 

I 

Enter yout proralod thors of tases from the Iype of city checked on 1g 57 hero 9nd on Eng 10..... 

67, 

% 

[Fe Rnd gb 

59 Cot 

hoi Fc 

odor Ey fs gin 

eT 

DIRECT DEPOSIT 

Depa yout rehun Gracsty 

bo yor fascial 

pring 

Via 

df Accord 

y[Jewsa 

2 Jes 

asnsind 

Soo brnuctions avd. 

Deceased Taxpayer, o Fie snser 

3, ers Gases 

608161 CErLCallon. 

)gecivy wer panty o pessy Dat 

EATER DATE OF DEATH ONLY. Eveupt 4.15 

2006 090.00 

Vo 

vis rem Us basi oe 21 oben of wich avs oy boule ie 

Hl 

AE 

= 

rer 

| 

Preparers 

PTE TEM or SSH 

Taxpayer Ccation. tous cnserperaty ct pia ut fs dommsson i is tm 

ganic 

Kame i 

ce ive) 

rd Frachranéa 1 bo ded umes 

1 Fo bod of oy Arai sge 

SELP-PREPARED 

[To 

oo 

Err 

Ga 

Frerarers Brees Fons, ads ond Tele rm Hor 

H 

[Toy crcking vis bon snc 

Teas bo cuss my ecm wh oy eepacr, 

Byou ae also fing Form 14.1050, include this Korm behing 2, 

not, mad this kon 

bo: Michigan Department of Treasiay, Lansing, Mi £3936 

+1201 

2024 

25 03 27 

1 

Media Dipasimand of Tasory (Rav. 01-28), Page 147 

Atizchment 

08

1/14/26, 1:23 PM 

image7.png 

8:37 

56 E&% 

2024_MI_RETURN_2025-1... 

+ 

Done 

28. SUBIVIAL. 

AGT S065 14 TWoug 2 .. 

Lave, 

zs. 

19r7eaw) 

. 

ontinus 

on page 2. This form cannot bi 

A 

271 

processed H pages 34nd 3 bro ook camoried ant 

atts 

: 

NN Ue HACR Page 20 

3 

Fibers Fu Soci Securty Numb 

i 

I 

29. 

Enter sublotal 

trom kod 28... 

....... 

- 

30. 

Other acustanents 

{see instaxtans). 

Deserve FED AGI 

ADJ. 

30.! 

1, 33700) 

31. odialosurancaMliO premiums you pid for you and your fad 

(568 INSAKDONS) 

~ 3% 

0]09! 

32. 

ASGEnes 08nd 31, 

eee, 

33. TOTAL HOUSEHOLD RESOURCES, Subtract na 32 kom ie 29, 

1 more than $69,700, STOP; you ara not etigidie for this eredit. .. 

34. 

Mutiply kns 33 by 32% (0.032) of by the peccsnt in Table 2 {ses instructions). Uf negative, enter 0°. 

34. 

56300) 

35. 

Subtracting 34 from Ene 13 aad enter tho amount hers. 

5nd 34 is greater 

than lina 13, enter 

"0° 

und STOP; you we not etiglie lov this crest... 

35. 

1,507{00) 

PART 1: ALLOWABLE COMPUTATION Complete ang of the sections below, ether A, 8, or C (se instructions). 

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

36. 

Enter amount rom ne 35. 

37. Perceriags vom Tabi A(seo 

ucians) Dat apts 0 ia smcund 

I 

| 

mee A 

% 

38. 

Mutiply Eno 36 by fine 37. Enter amount here and on Eng 42 (Maximum $1800), 

«....onvrmeres 38, 

00) 

SECTION C: ALL OTHER CLAIMANTS {if you did noi check box 5a or 5b) 

39. 

Enter amount from fe 35 here and on ina 42 {maximum $1,800). 

40 

Enter amount kom ing 35... 

40. 

1,507) 

41. 

Multiply amount on Ing 40 by 60% (0.60). Enter amount here and on Fna 42 {maximum $1,800). 

41. 

304]09; 

PARTY 2: PROPERTY TAX CREDIT CALCULATION Ai) filers must complete this section. 

42. 

Enter amount 

on ihe 

38,39 

or 41, or on Worksheet 

(seo tions) or FIPIMOKHS 

, IN 

2. 

00 

43 

44. Torey TAX CREDIT. Mutt 

ormount on Fn 42 boy péccantage on Fe 43, Enter preTYY 

[aed 

and if you fio an 

HU-1040, carry this amour to M-1040, Ena 25... 

La. 

NOTE: Seniors who pay rent {including rent pald to adult care facltities): Comploto 

Worksheet 5 in the Mi-1040 book and enter amount from worksheet on ing 44 (maximum 

$1,800). 

ait 

Spntinn 

paged, fem cance 

and) 

pleted 

[ht 

jd. 

#1201 2024 25 02 27 

3 

Pros Ited pas 230d 3 be not completed 

nd 

204 ARICA Pea 363 

Flor’ Fut Saal Secursy Harnber 

PART 3: HOMEOWNERS WHO MOVED IN 2024. Repost 

on nes 45 and 

46 the 

which you

1/14/26, 1:23 PM 

image8.png 

8:36 

56 @ 

2024_MI_RETURN_2025-1... 

~» 

Done 

2024 MICHIGAN Homestead Proparty Tax Credit Claim MI-1040CR 

et 1647, on arocied 

Hl) 7 of 11 

= 

Attachment 95 

TE 

[Gane 

2 Frac’ Fit Boia Sacussy No (Exavpia 123.45 678%] 

AAEETL 

M | ROSS 

Fa Jot Ronen, Sows Voihama 

|e 

[Cowtbouns 

3. Spouae't 

Fol Socket Secty Hd. Erwin. 13.45 4169) 

Tom J33eax Ohmi, Stock PO. Bor] Hua 

#0 Bon yo1 Fat Govirs 

1d 5 

10015 BEACONSFIELD 

7 Tous 

Ca 

Fo) 

VE 

Dov 

C8 15 55] 

DETROIT 

MI 

{48224-2534] 

82010 

5. Chick the box(es) for which you of your spoute quatlly (exciting dependants). tf you qualify for both, $46 instructions. 

Age 65 of older, 

of an Linemarmed spouse of 8 person 

bo] 

Deal, bind, hemiplegic, paraplegic, quadriplegic, of 

who was 65 ox cider at the (me of death. 

totally and pecmanently 

abled. 

€ A024 FILING GTATUS: 

[7.2024 RESIDENCY STATUS! 

8 you cack 

bin 

exter Eaten 

of Rchogan ressercy 

w 393 

Crack ome. 

Check od ta soy. 

Exo cotes 13 03 06-NYYY Exar 

G41 

2024) 

= [XK] soze 

[XX] Reuissrd 

a [Juanes sieg iray 

be [) meverisent 

0. 

— 

20% 

— 

~— 204 

© 

[homes sing separately 

| c. [] PaacYowr Resident 

© 

0 tochade Form 5043) 

0 

8 Homestead Status 

Chk eco 

1 ho Laxabio vase of yom hoempstens inches Uoccugiod {ormkant claselfed a8 agricuiurl by yous kcal 850350. 

©. Homeownees: Enter 

the 2024 Laxable value of your hocnestead {566 instructions), If you did not 

check box 

8 sbove and your taxable value is greater 

than $160,700, STOP; you are not eligible. 

Faimers: entec 

(ho taxable value of youd homestead, chasing etigble unoccupied 

fanvisnd 

[3 

0] 

10. 

Propedy tases tesied 0 

your home for 2024 (s60 instructions) of amount om) ne 81, 56 andlor 57 

10. 

foo] 

: 

18, 

Renters: Enter rent you paid for 2024 rom bina 63 ardor 

85... 

H. 

9,000] 

: 

12. 

Muspty Ene 11 by 23% (023)... 

12. 

2,070jo0 

: 

13. 

Total AGENSS 

10808 12. 

roan 

. 

ire 

TB 

2,070l0 

TOTAL HOUSEHOLD RESOURCES. ¥ fiing join ralum, Inctuds income from both spouse 

Hemasried filing separately, you must lociude Form $049. 

1%. 

24. Social Security, $8), andlor 

u 

joo 

sromentbenefits.. 

21. 

0jod) 

15. 

A intorest and dividend ivcame. 

22. 

ChE support 

and foster 

i 

{nchiding pontarable interest)... 

15) 

[1] 07) 

paren payments. ............ 

22. 

000, 

| 

16. 

Mot business 

income [inckssing nel 

23. Unemployment 

i 

farm incoms). i negative, enter '0' 

16 

18,92100, 

3 

2 

00) 

£ 

17. Notroyaity 

of rent income. 

2. 

1 negative, entes 0". 

7 

9}oo; 

24 

0}oo] 

18. 

Retremant pension, anny, and 

25. Other nantazatie [iy 

(RA borefts........ 

18 

8iod] 

Describe: 

2. 

© 

19, Capist gains fess coptatiosses 

26. Worersheatsrans dashaty 

{800 Instructions). 

.. 

0700] 

conrgenalicnyension 

berets 

26, 

0[00 

: 

2. Henry sng oer wat 

ons 

27. FIP 53 other MDHRS benefits 

i 

20] 

00] 

(Do red inckoda sd ssaistance) 

27. 

000) 

Gonlinuy 

0a page 2. This form cannot 

be 

+1201 

2024 

25 

01 

27 

1 

Procested If pages 2 and 3 are net compleind and inciuded. 

28. SUBTOTAL. 

AGA 085 14 BYOUGH 27 

otomrr 

rs 

mm 

[ — | 

Ess Ful Social Bocnrty amber 

29. 

Enter sublotal 

from ing 26... 

. 

20 

18,921{0] 

0. Ofer adj Jusments (soo nstnseions). 

Dezxbo: FED. AGE 

ADJ 

30. 

1,33700 

31. Mogiaturarce 

HO pemiams you pwd 

yu nd yo anty 

(vee structions). 

a 

0loa 

32. 

Addvras 30and dN... 

1,337] 

33. 

TOTAL HOUSEHOLD RESOURCES. 

fa 32 from ne 

0]

1/14/26, 1:23 PM 

image9.png 

56 

BE 

8:36 

2024_MI_RETURN_2025-1... 

~ 

23. Miscetaneous subtactons (see instructions). Describe: 

2. | 

lool 

HN] [5] of 11 

27s 

Continue on page 2. 

Done 

£024 Form S28. Pa 2602 

2024 MICHIGAN Schedule 1 Additions and Subtractions 

Fars Frettre 

Pry [reps 

Foor sok Gi era Th Bai VISTO 

Deduction Based on Year 

of Birth 

Cormglets 244 trough 24H 

i claiming the Michigan Standard Deduction, the retrement benefits deduction or he senior investment 

: 

income deduction 

on lines 25, 26, 27, of 28. Check box(es) 24C andlor 24G andy i you of yor spouse recoived cetrement benefits from 

i 

employment with 8 gavemvnénial agancy not cowred by the faders! Social Securly Act (SSA exeayt employment). Ses Instructions 

H 

Bofors continuing 

Yost of Bit 

bos 

Year ot Bry 

hoe 

ricenesbanis 

| vetvet 

a8 of 

[CET 

Wri 

id 

123120 _| Foceeen | te tase tess 

{ artied) was bam during tho pariod January 1, 1853 tough January 1, 1958, and reached 

396 67 on or before December 

31, 2023, Do not complete tings 5, 27 or 28... 

27. Retirement benefits, Enter amount from ne 16, 17, 18.0 19.of Form 4884, Michigan 

x. 

Pension Schedule. tnehuds Form 4884. 

Lan 

¢ 

28. Dnitaasintoreteapial gains deckcton fof taxpyess born port 

1948. This dedckon s 

ied lo $14.274 00 

sage oan or $28,518 on 

id tum. a} mus bo toced 

by ay 

deduction 

for retirement benefits (see nsinuctions).... 

: 

25. Tier 2 Michigan Standard Deduction. Complete this En H tho older of you 0 your 3pouss 

i 

{2 manied) 

was born during 

tho period January 

§, 1846 through December 31, 1952, and 

; 

reached 

age 67. Do not. 

tines 28, 27 or 28. 

SER 

26, The 3 Michigan Standard Deduction. Complete this Ene 

H 

the older of you 06 your spouse 

00] 

00] 

00] 

i) 

: 

[7] Grech i be 

you ve it rverrind dnd 

spouse chairing » 

sees, acest or Catal 

i 

ars deduction for 2omeans bom prot 1 1648 who was st eset age 55 52a me of death. 

20. Sublotal. Ads ines 10ToUgh 28... 

. 8 

0/9) 

: 

30. 2024 Michigan NOL Deduction, Enter amour 

fren Ena 1 67 2atrom seri. tot ww 

li 

Operating 

L033 Deckiebon. Inchids Form S674... 

00; 

: 

31. Total Subleactions. 

Add ines 23 and 30. Ents here 3nd 00 MIAI04D, 

fier 13.0... 

3, 

000) 

+1201 

2024 

09 

02 

27 

3 

Bhchigan Dogustriend of Teaver (Ree 95.24), Fuga 1643 

Amended Return{] 

2024 MICHIGAN Homestead Property Tax Credit Claim MI-1040CR

1/14/26, 1:23 PM 

image10.png 

56 GE 

8:36 

2024_MI_RETURN_2025-1... 

v 

Done 

chan upamant of Tweury 

toed utes amos of dic Act £41 01 Vid, a3 amended 

23 Res C24) Page 10iT 

2024 MICHIGAN Schedule 1 Additions and Subtractions 

tadtuda with Form ME-1040. 

Type or print in bua or black ink 

[1] 

Flv Fostioane 

TH 

Tiadfans 

Fars Ful Social Secu 

le. ramets 17345. 61€4) 

TIPEANY 

41 

ROSS 

CC 

Additions 10 Income (afl sntstes must be positive numbars}) 

. Gross interest 

and dividends from obligations 

Issued by states 

{other than Michigsn) of thelr political subdivisions, ... 

~ 

— 

2. Deduction for tues on of measured by incoma, inclcking sat-omgloymant as, taken 

on your 

toderal retum, 60d a¥ocated shave of tax paki by an electing fiow- through ently (see instructions) 

2. 

1.339 

3. Gains from Michigan chums of MI10400 and 

MHATOT............ 

4. Losses attributable 1 other sates (zee Insbctions) 

S. Net lous tom federal cokama of your Michipan M0400 of M4797... 

—. 

5. 0, gas, and nonferrous metalic minorol expense. Enter amount kom va 20 of Form 5869, 

Michigan Report of OF, Gas, and Nonfesrous Metalic Mingrals Extraction « Income 

and Expenses 

6. 

7. Federal Het Operating L053 deduction inchuded IAG... .... 

— 

NEN 

A 

8. Other {see instructions) Describe: 

8. 

9. 

1,339 

" 

BB 

BB 

RB 

EB 

IE REI 

©. Yotal additions, 

Add lines ¢ through 8. Enter hare and on M1040, kine 15... 

Si 

tram I 

(all entries must be 

) 

10. Income from U.S. government 

bonds and ather 1.8. obligations included in M1040, ng 10. 

Indude U.S. Schedulo 

8 ¥ over $5.000..._— 

. 

11. Amount included in M1040, i 

10, rom mitary etirunent bonofis dos 10 sion inh 

U.S. Armed Forces of Michigan Natonad Guard, of laxabla rairoad retremant 

bansEts 

12. 

Gains fiom federal column of Richigan MLEO40D 80d 

THY 

.....oocovvcocos scene 

12 

13. trom atributatio 

to another state. Explain type and source: 

1. 

14. Taxable Sosal Security benefits or mtary 

pay (not sotirement) included on ME-1040, Ene 10. 

14. 

15. Income eamad wivla a resideot of 

a Renaissance 20ns {368 structions). . 

16. Michigan stato and local coma 151 afd received n 2024 and inchxdéd 61 MI-104D, bra 10. 

Including 

your afocated shart of refund received from an exeing Eow-Vough 608... 

16. 

+1. Mictigan Education Savings Progen. lt £520 Ad dsce Plan, and Megan Actin 

a eter 

Lito Expecence Program. 

18. Michigan Educason Tru... 

15. 01, gas, and ncevertous metic minerals income. Enter sent hom ino 7 of Form 6849, 

Liichigsn Report of OF, Gas. snd Nonferrous Metalic Minerals Extraction - noame 

and Expanses 

19. 

20. Resident Trial Member income exempted unded 5 State/Tribal tax agresmant of 

pursuant to Revenue Administrative Buflotin 1988.47 

........... 

SN 

: 

21. First-Time Home Buyec Savings Program, Enter amount fom ns 3 of Form $762, 

2 

bergen 

: 

Fist-Tima Homa Buyer Savings Program. Inchude Form §792.............. 

Lot 

22. Expenses of masituans establishment Eoensed undet MRIMA 

cco 

romccvmrseecs 28. 

gE 

BB BRR BEER 

BIE EEE 

23. Miscefanoous sublactions (360 batnictions). Describe: 

3 

+1201 

2024 

09 

61 

27 

5 

Continue 

on page 2. 

FN Foe M3 Fags 2012 

: 

2024 MICHIGAN Schedule 1 Additions and Subtractions 

Fears Frits 

[ig r=] 

Flos Fos Sot Sacrey 

No (Exams 123-4566)

1114/26, 1:23 PM 

image1t.png 

8:36 

2024_MI_RETURN_2025-1... 

v 

Done 

Connon on pags 3. This form eannol bi processed i pages 2 and 3 ate not completed and inchuded. 

+1201 

2024 

05 02 27 

1 

208. Page Yel 3 

LT 

| 

I 

] 

REFUKRD OR YAX DUE 

34. 

HEné 331 Ress than nd 24. 

suis 

Gna 33 fom bre 24 1 

$08 neta tons 

[rr— EN andpunsry 

—.. YOUOWE 

34 

ooo 

: 

35. 

Ovecpuyment iis 32in rater Pie 24, bast 598 28 rom B90 93. 

recone 

35 

3.253000 

: 

36. 

Credit Forward. Amcurd of ie 35 4 ba crested 2 your 2025 extimated tax Sot yous 2025 bax reborn 

[ 

00) 

37. Subeacting 

16 40MEOE IS. 

oem 

ere. 

REFUND 

37] 

3.253000 

DIRECT DEPOSIT 

Rag Te 

DY 

Tie Re 

jtvetrliretancdd 

peed 

a 

VF owts 

2[ Joven 

Decess 

ed Taxpayer. 

« Fer snc 

Spouse 

nd ar Decomver 31, N23, trie taten biow 

[PrePaIer COrBAICMION. 

§ dniwe wobec poessty of picy.ty peat 

ENTER DATE OF DEATH ONLY, Baal. 04-85 2524 WA DO-YY YY) 

$12 rR 

8 B36 

1 af indvmationt of which Fhave sey irnowdoags 

| 

Tog 

PT FEET 

SO 

siee 

spouse] 

: 

Taxpayer CETtNCAton. {deci 

wer penal of poiey Patio formic 

bn tvs etm | Pe 

wea Got 

1554] SELF 

~ PREPARED 

1 

2d eho 

i 

md tira 

0 

is fog Anurag 

Fliers Sgratae 

[2 

Preparer 

s Sahay 

Erny es 

a 

ey 

ee 

ee 

[Tv 

ehacting vis bow. tactnorizs Treasury to discuss my reborn wan my geepices. 

Refund, credit, of 2e¢o rtturas, Wail your setum 10; 

Michigan Department of Treasury, Lansing, MI 48956 

Pay amount on Ina 34 (see Instructions). Ma your check and ratum to: Michigan Department of Treasury, Lanting, M1 48929

1/14/26, 1:23 PM 

image12.png 

8:36 

2024_MI_RETURN_2025-1... 

v 

Done 

15. 

Exemption allowance. Eni srcunt bos kre Of or Schivkde NA. ir 16. 

is 

£2,300100) 

16. 

Taxable incom. Subtract Ie 15 koming 14. Ene 1516 greater Sun ine 14, enter 

0's 

16 

0) 

Yat 

BIR 

Ene 160 

A 25% 

ORE) 

mcs 

meme 

cron 

rennin 

VL 

Ooo 

Continue or page 2. This form cannot be processed H pages 2 and 3 ma not complatad and inchustd. 

+ 1201 

2024 

05 

61 

27 

3 

2100 Pega 2003 

Fer’ Fu Social Secasity Hodes 

I 

| 

NON-REFUNDABLE CREDITS 

Moa 

erent 

8 lon Tas Ings by gums 

id cts 

Miri. 

Tacksdo 3 copy of the MER. {108 FSBO)... 

16, 

00] 

ten 

0 

i 

99. 

Michiacs Hissar Presecysion Tas Crest {soe nsinctons) 

16a 

ore 

00) 

H 

20. 

Income Vax. Subtract Ba wm of fines 155 and 160 fom Ine 17. 

Thee san of Iris 184 and 15d is greats than ve 17, ener 0°... 

=. 

Qo] 

21. 

Vourtary Conrusians 

om Form 4642, 106 6. Inchude 

Form 4642... 

ee 

2 

oo 

72. Pray roesited witirannl bom Fam $732. cn et Tv os Bae So 

Progam tne $.. 

ee 

22 

0 

2 

USE Tsu co ira, art 

ot ss 

ies bn 

Workebeet 

F550 VCORE)... 

i” 

ae 

. 

2 

2 

Total Tax Liabuty. Ad nes 20 Broun 73 

- 

- 

eB 

REFUNDABLE CREDITS AND PAYMENTS 

2%. 

Property Tax Credit. lackide M-104CR or 

NI-IHOCR2.. 

TR 

N 

2s 

90400, 

26. 

Farmland Preservation Yax Crecit Include MEIO4CR-S. 

- 

. 

Lo 

% 

0100; 

wcsoan 

21. Exes nme Taxed 

sig 

ow 2a by 05030) 

J 

| 

Bd SAE FBR ON FOR ZT 

27s 

7.830000] 

mn 

2, 

34900] 

Mehigan Hatrss Presarvatcn Tax Cis (rehuradstie) Inchids FO 

38M... 

ere 

28. 

00 

(Crest oe heated shars of ix id by an electing Bow rough ently (448 instructions) 

.. 

ols 

30. 

Michigan tax wide from Schedule Wi, Eos 6. inelkade Schechule W (do not Suburi 

Woz).. 

3 

ojo 

i 

31. 

Estimated tax, axsenaion payments 50 2023 ered 

ocaned.... 

El 

0j00 

: 

32. 

2024 AMENDED RETURNS ONLY, Tarpayers crgiting a 

ginal 2028 reks hcuid pb 3. 

: 

Arras 

reba 

most Tnckode Schidule AMD (468 Enatructions). 

: 

E5012 8 100 5 

1k bord 1 ok ri en, ERS Bt Jn aes £33 mond 83 

: 

we LGR 

: 

you 5.4 with i arial en, chk bse MD artnet 

Bnd said EA Pi 05d teks gh 

[ 

{I 

pgs elon iptt shestimiloipintocbyaiuisbpr lide 

sab spp 

a2] 

Joo; 

d 

30 

Totsl shurdshia credits bd pares. AS Ens 26, 26, 27%, 28, 29,30. 31 

843%... 

» 

3,253)o0) 

H 

Continue 06 pigs 3. This fom cannot ba processsd if pages 2 and 3 are not complied and inched. 

+1201 

2024 

05 02 

27

1/14/26, 1:23 PM 

image13.png 

8:36 

wif 56 GE 

2024_MI_RETURN_2025-1... 

v 

Done 

2024 MICHIGAN Individual Income Tax Return M1040 

Retum is dua April 15, 2025. Type or prin In bie of black ink. 

GR 

ur Dain 

6 Trvbtory (Rr. 0424), Page 103 

Seton under muonty of Able ACHZAN of 19ET. 13 ampndad 

Amended Roturn [7] 

ire Schade AUD} 

VFR Fata, 

7 Fir 

Fol Boil Sacveey 1 (Frbogls 111-43 E160) 

; 

TIFFANY 

i | ROSS 

H 

[Leone 

oer tia a py | ry 

rere 

§ 

3 Svonw —— 

Dareie; 19340 615, 

Tos Kaien Ohevber Bowel & FO 8) 

100315 BEACONSFIELD 

ET 

ERE 

TESTO 

Con 5) 

DETROIT 

M1 | 48224-2534 

82010 

5. 

STATE CAMPAIGN FUND 

& 

FARMERS, FISHERMEN, OR SEAFARERS 

Check you (andor your spice. 

[rue 

Sit 

B jo reborn) ward $3 of yor taxes 

[7] Checs 

pia box 

23 of yous come is rom Saeming, 

0.6010 

4s hand. Tris wit oot inerease 

+s 

Sahing. 

of Seat. 

YOUR LAK 

400259 S91 10nd. 

Ss 

7. 

2024 PRING STATUS. 

Chock ore. 

&_ 

7024 RESIDENCY BTATUS. Check a3 Bal sgpty 

o[X] sg 

“ 

¥ you check box 'e,” cormplota 

o [RX] mousent 

. 

0 3 and ended $ponse’s Kl nama 

Hiding 

b 

below: 

— 

"6 you ms corglets 

[0] Maries 

tog pony 

b. [7] Honvenidont 

ke 

Pak 

[ 

[esse IN | PY pw 

9. 

EXEMPTIONS. NOTE: H soeone sles Can claim you 35 # dugRadert, thick bax D2, enter 

0 on na 0a ad ender $1,500 on bo 0 (pep kngr) 

 Murnbed 

of exberglions 

(8 KSHAON) 

ooo ooo 

BL 

4] 

sso 

8a 

22,400}c0; 

B, 

Busribbe olionividosds who guialfy for 600 of a folowing $pecal exmpfions: dest, 

bint, 

hemiplegic, 

poraghegi, 

jo. of totaly 30d. 

Ssbled 

50 

[REE 

20) 

LT 

30 

| 

0 

9 Murmber of Cerufates of Sint Som DHHS (364 Instructions) 

8 

© 

5560 

3d 

00) 

©. Claires 45 GopaEre, 560502 9 NOTE RV 

or 

corer 

morris 

90. 

fo) 

0 

00) 

1 Addlnes 

9a, 95, 92.89 803 80. Enter hore 843.60 00 15 

recommen 

SE. 

22,490}00 

10. 

Adjusted Gros tocome bom your U.8. Form 1040 sea bratcions).._ 

1 

17,584]00 

11. Adaions 

Hom Scheduba 1, 550 0. chia BORSA 

coerce 

1,330 

12 

Tots Addins 

08nd 

oo 

SE 

— 

[1 

18,9211 

13. Subiractions 

from Scheckds 1, kno 31, buctuds Schadute 

¥..... 

PN 

n 

Bool 

: 

14. 

Incoma subject ta ax. Subtiact ive 13 om bed 12. Wis 138 greater haan 12, 6cdee 

To 

1b 

18,921 

ool 

95. 

Exemption aliewsnee, Enter amcunt from ioe $f oe Sched HR, 50 10. moooo 

cco 

coee 

15 

22,400{0) 

1 

16. 

Taxable Income. Subtract Ee 15 trom og 14. HEne 1516 greater fun Gra 14, ender 0". 

ons 

® 

[157] 

t 

3 

Toe Musil 10 16 by 4 28% (0 0425) 

ree 

— 

wo 

1 

loo] 

+ 1201 

2024 

0% 

01 

27 

3 

Continua 00 page 2. This form cannol bs processed H pages 220d 3 are not completed and inched.

1/14/26, 1:22 PM 

image1.jpeg 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

~~ 

ORLENE HAWKS 

GOVERNOR 

LANSING 

DIRECTOR 

PAPER FILING INSTRUCTIONS FOR NON-PROPERTY TAX APPEALS 

Follow these instructions for filing a small claims petition. For any questions that are not 

answered in these instructions, see the Tribunal's website at www.michigan.gov/taxtrib 

or contact the Tribunal at 517-335-9760. 

Mail the completed form and filing fee to: 

Michigan Tax Tribunal, P.O. Box 30232, 

Lansing, MI 48909, 

Section 1: Petitioner's Contact Information: “Petitioner” is the person, business, or 

entity filing the appeal. Provide the name, address, and daytime phone number for the 

petitioner. if there is more than one petitioner, use an additional sheet of paper to 

provide the name, address, and daytime phone number for each petitioner. 

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

The petitioner does not have to be represented by an attorney or authorized 

representative to file an appeal with the Tribunal. 

If the petitioner is using an attorney or 

authorized representative, provide the name, address and daytime phone number for 

the attorney or authorized representative. If the petitioner elects to have an attorney or 

authorized representative, only the attorney or authorized representative will receive 

notices and documents from the Tribunal. 

IMPORTANT: If the contact information for Petitioner or the attorney or authorized 

representative, if listed, includes an email address, the Tribunal will use that email 

address to electronically serve all future documents issued by the Tribunal. A request by 

Petitioner or Petitioner's attorney or authorized representative to opt out of electronic 

service once an email address is provided must be made in writing. 

Section 3: Explain the Reason for this Appeal: 

Explain the reason(s) you are 

appealing. 

Section 4: Assessment Information:

1/14/26, 1:21 PM 

image0.jpeg 

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

ORLENE HAWKS 

GOVERNOR 

LANSING 

DIRECTOR 

+ 

If “other,” explain: If you selected “other” above, describe the action which 

prompted this appealed. 

» 

List the Amounts being levied: Provide the amount of tax, interest and penalty 

due for each assessment number being appealed. Use a separate sheet of 

paper if necessary. 

+ 

List the refund sought: Provide the amount of tax, interest and penalty that 

Petitioner believes should be refunded. 

» 

List your Contentions: Provide Petitioner's belief of the amount of tax, interest 

and penalty due for each assessment number being appealed. Use a separate 

sheet of paper if necessary. 

Fee Information: The filing fee of $100.00 is required. Make the check payable to State 

of Michigan. If filing multiple petitions, note that a separate payment (i.e., check, money 

order, or other draft payment) must be made for each individual petition. 

Signature: A signature by Petitioner, if unrepresented, or Petitioner's attorney or 

authorized representative, 

if represented, is required. 

REMINDERS: 

Pursuant to TTR 277, Petitioner shall provide the Tribunal a copy of the final 

assessment notice or other order being appealed. 

You must submit the original, signed completed petition form to the Tribunal. You 

should also keep a copy for yourself. 

itis your responsibility to provide Respondent (i.e., unit of government) or 

Respondent's attorney or authorized representative, with a copy of any attachments 

submitted with the petition form. The Tribunal will not forward a copy of any attachments 

to the respondent (i.e., opposing party). TTR 287 states that failure to provide the 

copies to the respondent at least 21 days in advance of the hearing may result in 

the exclusion of the attachments. 

Respondent will have an allotted period of time to respond, after which time the case 

will be ready for a hearing. The Tribunal will send a notice of hearing to the parties no 

less than 45 days in advance of the hearing. To check the status of your appeal, visit 

our website at www.michigan.gov/taxtrib and click on the “Docket Search” option.

[eefly]s ull’

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