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Farnsworth.pdf

Katherine A Farnsworth Petitioner V Township Of Waterford Respondent · 26-003879-TT

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Page 1

RECEIVED 

GE 

AUG 18 2026 

MICHIGAN TAX TRIBUNAL 

STATE OF MICHIGAN 

ORE 

HITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON 1. BROWN, DPA 

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 (YTR) 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.E 

Last Name/Company Name 

Wo thecine. 

A 

ir arns wor 

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

¥ 

<< LOS Loalling INV Lo 

ZIP Code 

(Jr ord 

MEL 5 

Ee 

OI 180% 

YS WR 10YY 

Email Address {do not enter {intess you want MTT to serfd all correspondence via email) 

City or Town 

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

First Name 

Last Name 

Firm Name {if any) 

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

City or Town 

State 

2iP Code 

Telephone Number 

Email Address (do not enter unless you want MTT to send all correspondence via email) 

Section 3: Subject aT Information 

Parcel Identification Number: 

- 

— oO 

f. 

© — 

~ 

Property Address (No., Street) 

> 

1 

/% 

039 

RN 

sos walling DAC 

City 

or Town 

Count; 

” 

State. 

ZIP 

Gode 

tec kold 

"oak fan 

Mr 

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Page 2

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Explain the Reason for this Appeal 

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Section 5: Jurisdictional Issues 

Did you request a poverty exemption ata Board of Review (BOR)? LJ Yes 

No 

Na 

If Yes, check which BOR you attended: 0 March 

™ July 

[Wm] December 

If No, please explain: + Mhoy wav ld call FE more tnFeriglien is heeled 

Date the BOR decision was issued: 1-95-36 

Tax year(s) denied: pYSYS 

Fee Information 

There is no fee required for the filing of a poverty exemption appeat, 

Signature ‘required 

Petitioner gr 

Attarney/Authorized Representative’s Signature: 

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J Torn 

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Page 3

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