24-0033366.pdf
Tdc Endeavor Three LLC, Petitioner V City Of Sandusky, Respondent · 24-003366-TT
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RECEIVED ER JAN 03 2025 LE se MICHIG ie AN TAX TRIBUNAL STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR TOC ENDEAV=R. THREE, LLC. Petitioner(s) v MTT Docket No, 24-426 3 2441T CATH OF SANDUSEy Request Date: 12~ 2-202 Respondent(s) FEE WAIVER REQUEST Instructions: Complete this form and file it with the Tribunal. I request a waiver of filing fees for the following reason (check only one of 1, 2, or 3): 1. 0 I receive the following type(s) of public assistance because of indigence: I Food Assistance Program through the State of Michigan (known as FAP or SNAP) [J Medicaid (including Healthy Michigan, CHIP, and ESO) OJ Family Independence Program through State of Michigan (known as FIP or TANF) [J Women, Infants, and Children benefits (WIC) [J Supplemental Security Income through the federal government (SSI) [J Other means-tested public assistance 2. Olam represented by a legal services program, or | receive assistance from a law school clinic because of indigence. The name of the legal services program or law school clinic is: 3. [lam unable to pay the fees and | did not check item 1 or 2. My gross household income is $ every (week/two weeks/month/year) The number of people in my household is My source of income is List assets and their worth, such as bank accounts. If you need more space, attach a separate sheet: List obligations and how much you pay, such as rent or other debts. If you need more space, attach a separate sheet: NoT PECIEVING: LARA EMAILS. To DATE OF fo] 4 12-1-2024¢
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"DEPENDABLE CHOICES - HONEST ANSWERS" PH: 877-852-4678 - FX: 810-648-5251 << TLC | N SURANCE cE = r— E i zp ase $ 0006043757 www.tlcagencies.com FIRST-CLASS 415 W. Sanilac Road © Sandusky, MI 48471 MicHAEAN TAK TRABUN &C BN: SapnN ALY Po BOX Bol 572 Gil al, OTTAWA ST LANSING, MI 48935 Dept of Treasury Received JAN 0 2 2025 Mail Lansing Mich