Kacos.pdf
Andrew P Kacos, Petitioner V City Of Grand Rapids, Respondent · 26-000229-TT
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Page 1
RECEIVED ER JAN 16 2026 i= GJ Aen MICHIGAN TAX TRIBUNAL , STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS ~~ MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR PROPERTY TAX APPEAL PETITION FORM POVERTY EXEMPTION Do not use this form to appeal Principal Residence Exemption, Qualified Agricultural Exemption, Disabled Veterans Exemption, or other exemption disputes. Pursuant to Tax Tribunal Rule (TTR) 279, you MUST submit a copy of the notice giving rise to the appeal (i.e., Board of Review Decision or other notice) with this petition. If you do not submit this document, you may be held in default. Section 1: Petitioner’s Contact Information First Name M.L Last Name/Company Name Andrew P Kacos Mailing Address (No., Street, P.O. Box or Rural Route) 1506 Mason St NE City or Town State ZIP Code Grand Rapids Mi 49503 Numb: P78 - 7631 Email Address (do not enter unless you want MTT to send all correspondence via email) (2 Section 2: Petitioner’s Attorney/Authorized Representative’s Contact Information MLL First Name . Last Name Firm Name (if any) Mailing Address (No., Street, P.O. Box or Rural Route) City or Town State ZIP Code Telephone Number . Email Address (do not enter unless you want MTT to send all correspondence via email) Section 3: Subject Property Information Parcel Identification Number: 41-14-20-283002 Property Address (No., Street) 1506 Mason St NE City or Town County State ZIP Code Grand Rapids Kent Mi 49503
Page 2
STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS horLon L GROWN, DPA GOVERNOR LANSING Section 4: Explain the Reason for this Appeal My exemption was denied for missing tax information. It is enclosed here. = am a Skog 1 = Please. Fosse Woun eC Zao Takig Qulny ng exten ley dua A= TL tn brs dy ~ Bs 7 UU Escbo Cf L=2p ff Men 4 aoa | co? Fup hg Mm poi Wo Nod) Lys Exeuplian wou lp “ak Yi CAP. portly cock LY : 0 A 5 Fan-an ad 4h ws Wich [god gear beafly fare a 775251 7 bet! Section 5: Jurisdictional Issues Did you request a poverty exemption at a Board of Review (BOR)? Yes [No If Yes, check which BOR you attended: [] March [] July December If No, please explain: Date the BOR decision was issued: 12/12/2025 Tax year(s) dented 105 Fee Information There is no fee required for the filing of a poverty exemption appeal. Signature *requiced—, SOE" om / /, / 2em 14 V EE pe
Page 3
Michigan Department of Treasury 4988 (05-12) Poverty Exemption Affidavit This form is issued under authority of Public Act 206 of 1893; MCL 211.7u. INSTRUCTIONS: When completed, this document must accompany a taxpayer's Application for Poverty Exemption filed with the supervisor or the board of review of the local unit where the property is located. MCL 211.7u provides for a whole or partial property tax exemption on the principal residence of an owner of the property by reason of poverty and the inability to contribute toward the public charges. MCL 211.7u(2)(b) requires proof of eligibility for the exemption be provided to the board of review by supplying copies of federal and state income tax returns for all persons residing in the principal residence, including property tax credit returns, or by filing an affidavit for all persons residing in the residence who were not required to file federal or state income tax returns for the current or preceding tax year. , a. CoS” , swear and affirm by my signature below that | reside in the principal residence that is the subject of this Application for Poverty Exemption and that for the current tax year and the preceding tax year, | was not required to file a federal or state income tax return. Address of Principal Residence: __ ( ol Mason Sd Le GR. M- Esp3 CAs - [1] goat Av Signature gf Person Making Affidavit Date foot: f] Hh ©
Page 4
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Form 1040 (2024)Page 6
Michigan Department of Treasury (Rev. 04-24), Page 1 of 3
Reggrn is dug April 15, 2025. Type or print in-blue or biack ink,
“issued under authorlty of Public Act 281 of 1967, as amended.
2024 MICHIGAN individual Income Tax Return Mi-1040
Amended Return
[1]
(Include Schedule AMD)
1.[Eiker's
First Name
Pp
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2, Filar's Full Social Security No {Fyamnle; 23-45-6789)
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|Last Name
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Return, Spouse's First Name
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3::Spouse’s Full Social Security No. (Example: 423:45-6769)
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7, School District Code {5 digits)
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503
5.
STATE CAMPAIGN FUND
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‘Check if you {and/or your spouse, if
filling a joint return) want $3 of your taxes
*
10 go'to this fund. This will not increase
your faxgr reduce your refund.
a:
J ser
b. A Spouse
6. FARMERS; FISHERMEN, OR SEAFARERS
] Check
fishing,
this box If 2/3 of your income is from farming,
or seafaring.
7.
a.
8.
2024
FILING STATUS. Check one.
Single
a.
b.[] Married filing jointly
if you check box °c, *.complete
fine 3 and enter: ‘spouse 's full name
below:
bo.
‘e. oO Maified filing separately
2024
RES
Resident
©: =] “Part-Year Resident *
ESIDENCY STATUS. Check all that apply.
*If you check box “b” or
=,” you must complete
and include Schedule”
NR.
Nonresident *
9.
EXEMPTIONS. NOTE: If someone else can claim you ag a dependent, check box ge, enter 0 on line 9a and enter $1,500 on line 9¢ (se insir.).
a. Number of exemptions (see SE
— SSRTURTYOIVTON RUDE
Qa.
|
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$5,600
9a.
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90
b. Number
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11.
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Subtractions from Schedule 1, line 31. include SCNEAUIE 1 corureeerercrcerreeremrsseseessessismsam
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( b 41
00Page 7
2024 MI11040, Page 2 of 3
)
—
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Fiter’s Full Social Security Number
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NON-REFUNDABLE CREDITS
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AMOUNT
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18."
Income Tax Imposed by government units outside Michigan.
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Include a copy of the return. (see INStrUCtions)...cuuecusrinnereerens
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19.
Michigan Historic Preservation Tax. Credit: (see instructions).
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20.
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: 21.
Voluntary Contributions from For 4642; line 6. Include Form 4642................
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Penalty for nonqualified withdrawal from Form 5792, Michigan First-Time Home Buyer Savings
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Property Tax Credit, Include Mi-1040CR or MITO40CR-2.........onccecrie
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26.
Farmland Preservation Tax Credit. include MI-1040CR-5
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30. Michigan tax withheid from Schedule W, line 6. Include Schedule W (do not submit W-2s).................
30.
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[44]
31.
Estimated tax, extension payments and 2023 credit forward
31
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32. 2024 AMENDED RETURNS ONLY. Taxpayers completing an original 2024 return should skip to line’ 33,
©
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- Amended returns must include Schedule AMD (see instructions).
-
-
if you had a refund and/or credit forward on the original return, check box 32a and enter this amountas a
32a.
negative number
on line 32¢.
:
1
If you paid with the originaf return, check box.32b and enter the amount.pald with the original return; plus
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Total refundable credits and ‘payments. Add lines 25, 26, 27b, 28, 29, 30, 31 and 32¢c...Page 8
2024 WMI-1040, Page 30f 3 . Fller's Full Social Security Number [4 = REFUND OR TAX DUE 34. if fine 33 is less than line 24, subtract line 33 from line 24. If applicable, ses instructions. Include interest 00] and penalty 00 YOU OWE 34. a0 35. - Overpayment, If ling 33 is greater than ling 24, subtract line 24 from line 33. 35. 9) 20 00 36. Credit Forward. Amount of line 35 tobe credited to your 2025 estimated tax for your 2025 tax return ...___36. 00 37. SUbACt 16 36 TOM HN 3B. errnrvmssmsrrsssrstcsnssssnsins eres eer ...REFUND 37. 7 20 00 DIRECT DEPOSIT a. Routing Transit Number : b. Account Number | c. Type of Account Deposit your refund directly to your financial 3 institution! See instructions and complete a, b : . and. ’ . J [ chesng ~~ 2. [savings Deceased Taxpayer. if Filer andior Spouse died after December 34, 2023, enter dates below. |Preparer Certification. / declare under penalty of perjury that ENTER DATE OF DEATH ONLY. Example: 04-15-2024 (MM-DD-YYYY) this retum Is based on all information of which 1 have any knowledge, B Preparer's PTiN, FEIN or SSN Filer -_ -_ Spouse, _— -— Taxpayer Certification. /dsciare under penalty of perjury that the information in this return Preparer’s Name (print or typo) and gdechments is true and comglete fo the pest of my§nowledge. CY ”) 4 A Date Preparer's Signature Ii] bey 1g i) : t Spouse's Signature Date Preparer's Businass Name, Address and Telephone Number ™ By checking this box, | authorize Treasury to discuss my return with my preparer. Refund, credit, or zero returns. Mail your return to: Michigan Department of Treasury, Lansing, Ml 48956 Pay amount on line 34 (see instructions). Mail your check and return to: Michigan Department of Treasury, Lansing, Mi 48929
Page 9
Michigan Departinent of Treasury (Rel; 05-24), Page 10f3
b
:
;
.
Amended Return []
2024 MICHIGAN Homestead Property Tax Credit Claim MI-1040CR
issued under authority of FublicAct 281.0f 1967, as amended.
P
i
Tyo) r print in blue or black ink.
Attachment 05
1.
Riter\s
First Name
EY )
Last
e
’
2. Filer's Full Social Security: No. {Examble: 123:45-6769)
ter)
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Rgeos
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BES
Last Name
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3, Spouse's
Full ‘Social Security No; (Example: 4123:45-6789)
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5. Check the box(es) for which you: OF your Spouse qualify. (excluding dependents). If you qualify. for both, see instructions.
a. [EE Age 65 or.0lder; oran unremarried:spouse of a person
b. C1 Deaf, blind, hemiplegic, paraplegic, quadriplegic, or
'
:
who was 65 orolder athe time of death.
i
totally-and permanently disabled.
;
6. 2024 FILING STATUS:
7.2024 RESIDENCY STATUS:
“If you checked box %c." enter dates of Michigen residencyin 2024.
'Chegkone.
Enter dates as MM-DDYYYY. (Example: 04-15-2024),
a.
Single
a.
b. [| Married fiing jointly
b.[_] Nonresident
FROM:
— 2024
c (I Married filing separately.
| © (I Part-Year Resident *
70:
—
20
—
— 2024
(Include Form 5049)
8. Homestead Status
.
.
.
:
da
Check here if the {axable value of your homestead includes unoccupied farmland classified as agricultural by your local assessor:
h
9,
‘Homeowners: Enter the 2024 taxable value of your homestead (see instiiictions). if you did not
check box 8:above and your taxable value is greater than $160,700, STOP; you are not eligible.
Zz 4
A
Farmers: enter the taxable value of your homestead; including eligible unoccupied farmland SEA SQ.
ol
00
10. Property taxes levied on your home for 2024 (see instructions) or amount from ling 81: 56:and/or 57.
40
l 73
001.
11.
Renters: Enter rent you paid for 2024 from line 53:andlor85 iii. PEE
LE
00
“42.
Multiply line 14 by 23% PO) W— [ST —
00]:
43. Total, Add lines 10:and 12 cis AUTISTIC
TOTAL HOUSEHOLD RESOURCES. if filing-a joint return, include income from both spouses.
\f married filing separately, you must include Form £5049.
-
:
13.
UZ3
lw
14.
Wages, salaries, tips, sick, strike
24: Social Seculity: sSlyandior
and SUB pay, el. .iwumeemmerre
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railroad retirement penefits....
21:
| 2 <l L
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15.
Allinterest and dividend income
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22.Child:support and foster
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15
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parent payments...
22
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16. Netbusiness income (including net
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23. Unemployment
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Compensation. cs ders
23.
00Page 10
29. Enter subtotal from ling 28............. eveane 30. Other adjustments (see instructions), Describe; : : 30 00 ~-31 Medical insurance/HMO premiums you paid for you and your famity ) (BO IMSHUCHONS) corms 31 00 32. a ER — i 732, ; oof 33 Subfract line 32 from line. 29. : i Hern 38, | 4c 5 00 34. Multiply line 33 by:3.2% (0.082) or by the Percent in Table 2 (see instructions). if negative; enter 0" 34. q C3 00 35. Subtract line 34-from line 13.and enter the amount here: If line 34 is greater than line 13; enter “0” 20 and STOP; you are not ONGIDIE 10 HIS CIE. ; .ee 35, “a1 [11] PART 1: ALLOWABLE COMPUTATION Complete one of the sections below, either A, B, or ¢ (see instructions). SECTION A: SENIOR CLAIMANTS (if you checked only box 5a) *36. Enter amount from line 35 =o 36. 0p 37. : - 38. Multiply line 36 by line 37: Enter amount here and.on line 42 (maximum $1,800): 38: 00 “SECTION B: DISABLED CLAIMANTS (if you checked only box 5b; or both boxes 5a and 5b) +39." Enter amount from fine 35 here.and on line 42 (maximum $1 1800) wii nin i RENT, ERT 39; . 720 wl : 00 41. Multiply amount on line 40 by. 60% (0:60). Enter amount here and on line 42 (maximum $1,800)... 41. 00) PART 2: PROPERTY TAX CREDIT CALCULATION All filers must complete this section. 42 Enter amount from line 38,:39 or 41; or from Worksheet 4 (see instructions) for FIPIMDHHS recipients. 43. Percentage from Tabl n t i E : Foi ae I ei al 43, | lo ; 44. PROPERTY TAX CREDIT; Multiply amount on line 42.by Percentage on line 43: Enter amount here : and if you file an MI-1040; carry this amount to MI-1040; line 25...
Page 11
2024 MI-1040CR, Page 30f3
Filer's Full Social Security Number
1
a
EOWNERS WHO MOVED IN 2024. Rep
the addresses of the homesteads for which you
PART 3: HOM
ort on fines 45 and 46
are claiming
& credit. Homesteads with a taxable value
reater than $160,700 are not eligible for this credit.
45, Address where you Tived on December 31, 2024, if different than reported on line 7 (Number, Street, Cily, State, ZIP. Code).
Taxable Value
00
26. Address of homestead sold {moved from) during 2024 {Number, Streat, City, State, ZIP Code).
Taxable Value
:
=
HOMESTEAD.
Homeowners who moved during 2024, complete lines 47 through 51.
A. Moved Into
B. Moved From
47. Number of days occupied (total cannot be more than 366)...cc0neree
48. Divide line 47 by 366 and enter percentage here
.
%
%
49, Property taxes levied for calendar year 2024.
Q0
00
50. Prorated property taxes. Multiply line 49 by the percentages on line 48
.
00
Qo
51. Taxes eligible for credit. Add fine 50, columns Aand B. Enter here and on ICR [UR
51.
00
PART 4: RENTERS. if you received subsidized rental assistance, only enter the amount you paid.
[52
A
B
c
D
E
Address of Homestead You Rented
Landowner's Name and Address
# Months
Monthly
.
(Number, Street, Apt. #, CIty, State, ZIP Code)
(City, State and ZIP Code)
Rented
Rent
Total Rent Paid
00
00
:
00
00;
"53."
Total rent you paid (not more than 12 months). Add total rent for each period. Enter here and on fine ji Jo—
53.
00}.
PART 5: ALTERNATE HOUSING FACILITIES (see instructions)
.
.
54.
If you lived in one of these types of facilities for ali or part of 2024, check the appropriate box and see instructions.
a. OO Subsidized Housing: complete line 55. Enter result online 11.
b. [| Service Fee Housing: complete lines 55 and 56.
55,
Enterthe total rent you paid in 2024 while a resident of an Alternate Housing Facility. Do not include
amounts paid on your behalf by a government AGENCY wucnrrsrisssesesinss
[TRB ATR
55.
00
.
56.
Ifyou checked box 54b, multiply line 55 by 10% (0.10) (see instructions). Enter here and on line 10....
56.
00
57.
Special Housing: if you lived in one of these types of facilities for all or part of 2024, check the appropriate box
(see, instructions).
a.
Cooperative
Cc. ™ Nursing Home
Housing
b. [| Home for the Aged
e
from the type of facility
x a Paid Room and Board
d. Od Adult Foster Care Home
checked on
Enter your prorated share of taxes
line 57 here.and on line 10.
ol
|
od
58. Name and Address {including City, State and ZIP Code) of Housing Factlity, Landowner, OF Care Facility if you completed Ii nos 54 through 57.
b. Account Number
DIRECT DEPOSIT
.
Deposit your. refund directly to your financial
institution! See instructions and complete
a, Routing Transit Number
1. — Checking
—
Savings
¢. Type of Account
2.
paisa
b and.
)
-
Preparer Certification. ! decial
Deceased Taxpayer.
if Filer and/or Spouse died after December 31, 2023, enter dates below.
re under penalty of perjury thal
NTER DATE OF DEATH ONLY. Example: 04-15-2024 (MM-DD-YYYY)
ihis return is based on all Information of which 1 have any knowledge.
Preparers PTIN, FEIN of SSNPage 12
CITY ASSESSOR CITY OF GRAND RAPIDS CT December 12, 2025 KACOS ANDREW P 1506 MASON ST NE GRAND RAPIDS, MI 49503 RE: December Board of Review Change Notice 411420283 002 1506 MASON ST NE Dear Property Owner: On December 9, 2025, the December Board of Review made the following decision regarding your application for Poverty Exemption for 2025. PETITION #: POV_018 ORIGINAL ASSESSED VALUE REVISED ASSESSED VALUE 88,600 88,600 ORIGINAL TAXABLE VALUE REVISED TAXABLE VALUE 35,904 35,904 DECISION: DENY POVERTY EXEMPTION The City of Grand Rapids Treasurer will process any adjustments to the 2025 tax statement. Please allow a minimum of 30 days for the adjustments to take effect. The action of the December Board of Review may be appealed to the Michigan Tax Tribunal within 35 days of the date of this.notice. To appeal to the Michigan Tax Tribunal, download a petition from their website: wwiy.michigan.gov/taxtiib or send a letter requesting a petition to: Michigan Tax Tribunal - P.O. Box 30232 - Lansing, MI 48909 If you have any questions regarding the above changes please do not hesitate to contact us at
Page 13
wolfe he Cony ne? ‘GRAND RAPIDS MI 23 : Sol.” Maden =¥ rE. "13 3aN 2026 PM: Ce mu, 4953-1372 == 7 1 or Tax (bua ig STL ey BEERS 1 OTOL IR I TS RO nT