02._Property_Tax_Appeal_Petition_Form_Principal_Residence_Qualified_Agricultural_Exemption.f6c8c810-417d-4a68-b662-6fd010c61bbd.pdf
Fabian Kacaj, Petitioner V Michigan Department Of Treasury, Respondent · 24-003427-TT
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR PROPERTY TAX APPEAL PETITION FORM PRINCIPAL RESIDENCE EXEMPTION / QUALIFIED AGRICULTURAL EXEMPTION MOAHR DOCKET NO. 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 Denial or Board of Review Decision) with this Small Claims Petition, if applicable. If you do not submit this document, you may be placed in default. Section 1: Petitioner’s Contact Information Filer Type: Individual First Name Fabian M.I. Last Name/Company Name Kacaj Mailing Address (No., Street, P.O. Box or Rural Route) 18948 Newbridge Drive City or Town Macomb State Michigan ZIP Code 48044 Telephone Number 586-701-0249 Fax Number E-mail Address (do not enter unless you want MTT to send all correspondence via e-mail) fabiankacaj@gmail.com Section 2: Petitioner’s Attorney/Authorized Representative’s Contact Information First Name M.I. Last Name Firm Name (if any) Address (No., Street, P.O. Box or Rural Route) City or Town State Michigan ZIP Code Telephone Number Fax Number E-mail Address Section 3: Subject Property Information Parcel Identification Number: 200821307005 How many parcels are you appealing? 1 If you are appealing more than one parcel, are they contiguous or adjoining? If yes, use the attached multiple parcel form for information regarding any contiguous parcels. If no, you must file separate appeals for each non- contiguous or non-adjoining parcels or you will be defaulted. Property Address (No., Street, City, ST, ZIP) (If multiple, list first property’s address) 18948 Newbridge Drive Macomb
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR Michigan 48044 Taxing Authority: Township Of Macomb (MACOMB) County: Macomb Classification of Property: Real Residential Section 4: Check which of the following you are appealing Principal Residence Exemption Section 5: Explain the Reason for this Appeal I was a primary resident of address 18948 Newbridge Drive Macomb MI 48044.Requesting refund of overpayment of property tax for the years 2018,2019,2020 since address above was my primary residence since its purchase of June 2018. Section 6: Jurisdictional Issues List the year(s) denied: 2018,2019,2020 Indicate who denied the exemption under appeal: Department of Treasury If you checked “other” above, explain: List the date the Principal Residence Exemption or Qualified Agricultural Exemption was denied: 10/15/2020 Fee Information A fee of $25.00 is required for the filing of this appeal unless you possess a Principal Residence Exemption of at least 50% at the time of the filing of this petition. Electronic Signature *Typing your name below will serve as your signature Petitioner or Attorney/Authorized Representative’s Signature: Fabian Kacaj /s/