scpetition_nonprop.pdf
Gurcharan Kaur Petitioner Vs. · 26-003757-TT
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STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR TAX APPEAL PETITION FORM NON-PROPERTY TAX MTT 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 action taken by the Michigan Department of Treasury) with this Small Claims Petition, if applicable. If you do not submit this document, you may be held in default. Section 1: Petitioner’s Contact Information Filer Type: Local Unit of Government Individual First Name M.I. Last Name/Company Name Gurcharan KAUR Mailing Address (No., Street, P.O. Box or Rural Route) 49 Sawmill Creek Trail City or Town State ZIP Code SAGINAW Michigan 48603 Telephone Number 9894449997 E-mail Address ricky.055@hotmail.com Section 3: Explain the Reason for this Appeal I am appealing the penalty on my sales tax audit. I would like to have the penalty removed and I will pay the amount owed in full. Section 4: Assessment Information Type of Tax Being Assessed: Assessment Number(s): Sales Tax 1976695, 1976705, 1976722, 1976713 Check all that are being appealed: Penalty Check what action prompted this appeal: (Check one) Final Assessment
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STATE OF MICHIGAN GRETCHEN WHITMER DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS MARLON I. BROWN, DPA GOVERNOR LANSING DIRECTOR If “other,” explain: List the Amounts being levied: List the refund sought, if any: 0 Tax 49449 Interest 11782 Penalty 13982 List your Contentions: Tax 0 Interest 0 Penalty 13982 Fee Information A fee of $100.00 is required for the filing of a Non-Property Tax Appeal. Electronic Signature *Typing your name below will serve as your signature Petitioner or Attorney/Authorized Representative’s Signature: Gurcharan SIngh /s/ Payment Information Amount: 100 Success: True Message: "" Waiver Code: Transaction Number: 26100804859794 Supporting Waiver Documents: