26-000885.pdf
Susan M Stines-VanCourt Petitioner V Township Of Oshtemo Respondent · 26-000885-TT
Text extracted from the reviewed PDF, organized by page. OCR and reading order may contain errors; confirm details in the PDF below.
Page 1
GRETCHEN WHITMER
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
GOVERNOR
STATE OF MICHIGAN
LANSING
RECEIVED
MAY 2 6 202
MICHIGAN Tax TRIBUNAL
MARLON 1. BROWN, DPA
DIRECTOR
PROPERTY TAX APPEAL ANSWER FORM
POVERTY EXEMPTION
MTT DOCKET NO. 26-000885
Unit of Government
Section 1: Respondent’s Contact Information
Oshtemo Charter Township
Malling Address (No., Street, P.O. Box or Rural Route}:
7275 West Main St.
Clty or Town:
Kalamazoo
State:
ZIP Code:
Telephone Number:
MI
149009
269-375-7195
legal@oshtemo.org
Emall Address (do not anter unless you want MTT to send all correspondence via emai):
ection 2: Respondent's Attorney/Authorized Representative’s Contact Information
First Name:
James
Firm Nama {if any):
Ww
CX8
Last Name:
Porter
Oshtemo Charter Township Legal Department
Malling Address {No., Street, P.O. Box or Rural Route):
7275 West Main St.
City or Town:
State:
ZIP Code:
Kalamazoo
Ml
49009
Telephone Numbar: 269-3 75-7195
legal@oshtemo.org
Email Address (do not enter unless you want MTT to send all correspondence via emali}:
Section 3: Subject Property Information
Paracel Identification Number:
3905-27-430-060
Section 4: Explain Your Answer to this Appeal
well above the exemption level and petitioner does not qualify. See attached records of
The tax return for petitioner shows adjusted gross income for 2025 of $65,013.00. This isPage 2
STATE OF MICHIGAN
GRETCHEN WHITMER
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MARLON 1, BROWN, DPA
LANSING
DIRECTOR
Section 5: Jurisdictional Issues
Did Petitioner roquast a Poverly Exemption al a Board of Review (BOR)?
Yos
{J No
if yes, chack which SOR Petitioner
attended:
& March
0 duty
0 December
Date the BOR decision was issued: 3/1 2/2 026
Tax year{s) denied; 2 0 2 6
Si gnatu I'€
“Required
Respondent
or Altorney/Authorized Reprosentative’s
Sigpabifp!
wr
Sana, [pePage 3
vv
Michigan Doptrtont of Trasuny
P-007
Petition to Board of Review
L-4035
This form is issued under the authority of PA. 208 of 1863, as amended. Filing is voluntary, however, you may not appeal to the Michigan Tax Tribunal unless you first protest to the
Board of Review, except when the property is classified as commercial real, industrial real, of developmental real, You may not appeal property classifications to the State Tax
Commission untess you first protest to the Bard of Review.
7" 3E COMPLETED BY OWNER OR OWNER'S AGENT
~wner's Name (Please Pani or Type)
Petitioner's Name (if Other than Owner. Pleasa Print or Type)
STINES-VANCOURT SUSAN M & TODD M
“Township or Clty
County
Year of Appeal
OSHTEMO
KALAMAZOO
The undersigned protests the assossed value and/or the tentative taxable value and/or the property classification and/or the qualified agricultural proparty exemption of
the following described property:
Property 1dentified (Parcel code required, Proporty address and legal description opaonal) :
05-27-430-060
SEG 27-2-12 COMAT THEE1/4 COR SEC 27 THW 121 FT ALG E&W1/4 LI SD SEC TO PL OF BEG THS 165
FTPARTO E LI SD SEC 27 TH E 88 FT PAR TO THE E8W1/4 LI OF SEC 27 TO THE WLY ROW LI OF 8TH ST
THN
165 FT PAR TO THE E LI SD SEC 27 TOE&W1/4 Lt SD SEC 27 THW 88 FTALG E&W1/4 LI SD SEC 27
2424
S8TH ST
TOPL OF BEG *H 27-66
Protested Item [J Assessed Value
[1
Tentative
[J Taxable Status
[J
Classification
[J
Qualifed Agricultural
Taxable Value
(exemption)
Property Exemption
1. PROTEST OF ASSESSMENT
Complete this section for a protest of assessed valus, including assessed vaius changes associated with exempt status and denied or late filed personal
property forms.
Assessed Value
Owners Estimate of True Cash Value{Market Vaive)
122,500
2. PROTEST OF TAXABLE VALUE
Complete this section for a priest of Taxable Value
won:
[1]
Value of Losses
[J
Value of Additions
[J Poverty Exemption
0
Uncapping %
3. PROTEST OF CLASSIFICATION.
:
Complate this section for a request to change the classification, The
Board of Review must make thelr decision regarding classification in accordance with Secon 211.34c of the
Michigan Complied Laws. The Board of Review shall not be Influenced by the effect that a particular classification has on that property's status as a homeowner's principal residence
or qualified agricultural property.
Classification of properly on this year's assessment roll:
401
Classification should be: (Please check one of the following)
[0 Agricuitural
1 industrial
DC Timber Cutover
[utility (Personal Property Only)
J commercial
[1 Residential
Cpevelopmental
4. PROTEST OF EXEMPTION FOR QUALIFIED AGRICULTURAL PROPERTY
i
If the assessor has denied or changed the parcentage of the exemption from the 18 mills of local school operating tax for qualified agricultural propsrty, the
owner may appeal this action to the March Board of Review. THE BOARD OF REVIEW HAS NO AUTHORITY TO CONSIDER OR ACT UPON THE
EXEMPTION FROM THE 18 SCHOOL OPERATING MILLS FOR HOMEOWNER'S PRINCIPAL RESIDENCE PROPERTIES.
Percent qualified agricultural exemption granted by assessor: (Enter 0 if exemption is denied)
| Percent qualified agricultural exemption nequesics by Owner. (Enter 100 if full
exemption requested)
REASON FOR PROTEST
State reason(s) for protest of assessed value and/or the tentative taxable value and/or taxable status and/or classification and/or qualified agricultural properly exemption.
Poe
ExemptionPage 4
Form 618, Page 2
FOR BOARD OF REVIEW USE ONLY
INSTRUCTIONS: Incorporate a copy of this form and the assigned number in the Board of Review minutes.
| Pelion Number
Parcel Code
P-007
05-27-430-060
1. ASSESSED VALUE
of Review. The Board of Review must stale the reason 107 ts aclion balow,
[J Assessed
Value Changed From:
|
122,500
ro:
|
]
Record
of Vote - Board or three member
committe
of board
i
Chairperson:
[UvEs
[] Wid
Member.
[J-¥Es
[J vo 8)
Member:
[ares
0 ne y.
Initials
Iniflals
Reason for Board Action:
ANC R~NAL AR
If you disagree with the decision of the Board of Review regarding tentative assessed value, you may appeal that decision by filing a petition with the Michigan Tax Tribunal at
PO Box 30232, Lansing MI 48809. Commarcial Real, Industrial Real, Developmental Real, Commarcial Personal, industrial Personal and Utildy Personal Property may be
appealed by May 31. Agricultural Real, Residential Real, Timber - Cut Over Real, and Agricuiural Personal Property may bo appealed by July 31. The petition must be filed on
a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal, Michigan Tax Tribunal forms ars available at www. michlgan.govitaxtrib.
2. TENTATIVE TAXABLE VALUE
Disposition by Board of Review. The Board of Review must state the reason for its action below.
[J
Denies
[J
Tentative Taxable Value Changed From:
109,265
To:
{Ses attached L-4038A)
Record of Vote - Board or three member committes of board.
Chairperson: [] Yes
[J
No
Member:
[] yes
[]
no
Member:
[TJ] yes
[7] no
initials
Initials
Initials
Reason for Board Action:
1
disagree with the decision of the Board of Review regarding tentativa taxable value, you may eppeal that decision by fillng a petition with the Michigan Tax Tribunat at
"ox 30232, Lansing MI 48809. Commercial Real, Industrial Real, Developmental Real, Commercial Personal, Industrial Personal and Utility Personal Property may be
«.
. <aled by May 31. Agrcuttural Real, Residential Real, Timber - Cut Over Real, and Agricuitural Personal Property may be appealed by July 31. The petition must be filed
on a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at www.michigan.govitaxtrib,
3. CLASSIFICATION
Disposition by Board of Review. The Board of Review must state the reason for its action below.
[7
Denied
[OJ
classification Changed From:
401
To;
Record of Vote - Board or three member committee of board.
Chairperson: [J Yes
[J No___
Member:
[J ves
[J no
Member:
[J ves
[Jno
Initials
Initials
Initials
Reason for Board Action:
if you disagree with the decision of the Board of Review regarding classification, you may appeal by sending Form 2167 to the Stale Tax Commission, PO Box 30471, Lansing
[MI 48908 by June 30,
4. QUALIFIED AGRICULTURAL PROPERTY EXEMPTION
Disposition by Board of Review. The Board of Review must state the reason for its action below.
[1
exemption Request Denied
[]
Exemption percent modified from
% To;
%
Record of Vote - Board or three member committee of board.
Chairperson:
[] ves
[J
No
Member:
[J Yes
[] no
Member:
[7] ves
[] noPage 5
2026 BOARD OF REVIEW DECISION FROM . CHARTER TOWNSHIP OF OSHTEMO ASSESSOR'S OFFICE 7275 W MAIN STREET KALAMAZOO, MI 49009-9334 NAME AND ADDRESS OF OWNER OR PERSON NAMED ON ASSESSMENT ROLL: PROPERTY IDENTIFICATION: (Parcel Code required, Property address and legal description optional.): 39-05-27-430-060 2424 S 8TH ST STINES-VANCOURT SUSAN M & TO SEC 27-2-12 COM AT THEE1/4 COR SEC 27 TH W 12] FT ALG 2424 § 8TH ST E&W1/4 LI SD SEC TO PL OF BEG TH 8 165 FTPAR TOE LI KALAMAZOO MI 49009 SD SEC 27 TH E 88 FT PAR TO THE E&W1/4 L1 OF SEC 27 TO THE WLY ROW LI OF 8TH STTH N 165 FTPAR TO THEE LI SD SEC 27 TO E&W1/4 L1 SD SEC 27 TH W 88 FT ALG E&W1/4 L1 SD SEC 27 TO PL OF BEG *H 27-6-6 THIS PROPERTY IS CLASSIFIED 401 (RESIDENTIAL-IMPROVED) Thank you for attending this years March Board of Review. The Board has reviewed the information you supplied and the data necessary to compute your assessment and taxable value. The Board has completed their review of parcel number 39-05-27-430-060 They have made the following determination based on the information you supplied. Board of Review Comments REASON FOR PROTEST: POVERTY EXEMPTION. PR" ACTION: POVERTY EXEMPTION DENIED. INCOME IS ABOVE TOWNSHIP THRESHOLD, [2026 ORIGINAL ASSESSED VALUE 122,500 | [2026 "BOARD OF REVIEW" ASSESSED VALUE 122,500 | (If the above amounts are the same, no revisions have occured) 2026 ORIGINAL TAXABLE VALUE 109,265 2026 "BOARD OF REVIEW" TAXABLE VALUE 109,265 2026 PRINCIPAL RESIDENCE EXEMPTION/QUALIFIED AG 100.0000 Please feel free to contact the assessor at the address listed above or call 269-216-5225 if you have any questions. If you disagree with the decision of the Board of Review regarding the tentative taxable value, further appeal may be make to the Michigan Tax Tribunal by May 31 for Commercial Real, Industrial Real, Development Real, Commercial Personal, Industrial Personal and Utility Personal Property and by July 31 for Agricultural Real, Residential Real, Timber - Cut Over Real and Agricultural Personal Property. Petition forms are available at www.michigan.gov/taxtrib Michigan Tax Tribunal PO Box 30232
Page 6
p-007 Michigan Department of Treasury S737 (Rev. 10-25), Page 1 of 4 Application and Affirmation for MCL 211.7u Poverty Exemption . This form is issued under the authority of the General Property Tax Act, Public Act 206 of 1893, MCL 211.7u. MCL 211.7u of the General Property Tax Act, Public Act 206 of 1893, provides a property tax exemption for the principal residence of persons who, by reason of poverty, are unable to contribute toward the public charges, This application is to be used to apply for the exemption and must be filed with the Board of Review where the property is located, This application may be submitted to the city or township where the property is located in each year on or after January 1 but before the day prior to the last day of the board of review. Poverty Exemptions may be heard by the Board of Review during its March, July, and December sessions. To be considered complete, this application must: 1) be completed in its entirety, 2) inciude information regarding all members residing within the household, and 3) include ail required documentation as listed within the application, Please write legibly and attach additional pages as necessary. PART 1; PERSONAL INFORMATION — Petitioner must list all required personal information. Pelitioner’s Name Daytime Phone Number Susan, Stnes-VanCourt 209-503-063! Age of Patitionar Marita Status Age of Spouse Number of Lega! Dependents LZ Marie “4 Zz Property Address of Principal Residence City ) State ZIP Code z424 5 BT Shveek alamazao mT! 49009 PART 2; REAL ESTATE INFORMATION List the real estate information related to your principal residence. Be prepared to provide a deed, land contract or other evidence of ownership of the property at the Board of Review meeting. Name of Mortgage Compan) Member \ =x, Morkgege Property Parcel Identification Number 3905-27-430-04L0 Unpsid Balance Owed on Principal Residence Monthly Payment Length of Time at this Residence L124, 140. @ 2] 48 Syeors Property Description. TAHEE 1 J Cox SEC 27TH W 1ZU FT ALG: Eq WW 1/4 sec i Cor pee Td JI eek PAR. "TO E | 5D SEC 27 tw F 8% PAR LL) THE Eww Id LI oF SEC 271 To TRE wLy @oul LI gf 3TH ST TU N 16S 7 be To THE LI SD SEC 277 TO E+W 1/4 cl SD SEC ZTTH W338 FT Als cw if LI SD SEQ ZT To PL 6F BERK HZT 6 ( PART 3: AFFIRMATION OF OWNERSHIP, OCCUPANCY, AND INCOME STATUS Mn own the property in which the exemption is being claimed. [AThe property in which the exemption is being claimed is used as my homestead. Homestead is generally defined as any dwelling with its land and buildings where a family makes its home. PART 4; ADDITIONAL PROPERTY INFORMATION List information related to any other property owned by you or any member residing in the household. 0 Check if you own, or are buying, other property. If checked, complete the | Amount of income Eamed from other Prapaty
Page 7
5737, Page 20f 4
| PART 5: EMPLOYMENT INFORMATION — List your current employment information.
Name of Employer
Nip
Address of Employer
City
State
2IP Code
Contact Person
Employer Telephane Number
PART 6: INCOME SOURCES
List all income sources, including but not limited to: salaries, Social Security, rents, pensions, IRAs (individual
retirement accounts), unemployment compensation, disability, government pensions, worker's compensation,
dividends, claims and judgments from lawsuits, alimony, child support, friend or family contribution, reverse mortgage,
or any other source of income, for all persons residing at the property.
Monthly or Annual Income
Source of Income
{indicate which)
Social security Disability
222.6-°° pocidy
T
Nekioral Guerp Trdustvial Pension Plan
209.47
mondly
26,4 2S. ¢ s/)
PART 7: CHECKING, SAVINGS AND INVESTMENT INFORMATION
List any and all savings owned by all household members, including but not limited to: checking accounts, savings
accounts, postal savings, credit union shares, certificates of deposit, cash, stocks, bonds, or similar investments, for all
persons residing at the property.
Name of Financial Institution
Amount
Current
Value of
or Investments
T
on Deposit
__|interest Rate
Name on Account
es
Investment
NA Communik y Qredit
Upon |
43
N
Susan Mm. SHines-Venloue
on
1
491.4
wl
Todd
wh. Shires Von Gourd
491.48
smi Lommuniky Crediton | 376.93
pla
Tedd m.stiresNonlout | #76 45
.
.
A
Susan mM Shres—
Va. Const
pdvia
Credit Kpicn
52.94
rla
add m Sires VanCau
t
sz. 74
PART 8: LIFE INSURANCE —- List all policies held by all household members,
Amount of
Monthly
Policy Paid in
Relationship to
Name of Insured
Policy
Payments
Full
Name of Beneficiary
Insured
PART 9: MOTOR VEHICLE INFORMATIONPage 8
5737, Page 3 of 4 | PARY 10: HOUSEHOLD OCCUPANTS — List ali persons living in the household. A Relationship $ Contribution to| ) First and Last Name Age to Applicant | Place of Employment! Family Income Susar Stipes-Voanlurt LZ Self pla 3635. manly 7 Todd Stines- Van Court 46 Spouse via 0 PART 11: PERSONAL DEBT — List all personal debt for all household members. Date Creditor Purpose of Debt of Debt | Original Balance [Monthly Payment] Balance Owed Member Ist. Wovkgad] movtapae 1-1-2021] 173006. °° | gz). HE 124,140. © 0 F ved HELSC 10432023] Sos Goose | 18-33% | g2,03.57 Advi Credit Wunion PART 12; MONTHLY EXPENSE INFORMATION The amount of monthly expenses related to the principal residence for each category must be listed. Indicate N/A as necessary. Heating 7.0 o eee 1. 00 Water N Ia Fone to, <8 ol qe PS Food 7 se ES PS Clothing 180. 00 tg % 5
Page 9
6737, Page dof 4 NOTICE: Per MCL 211.7u(2)(b), federal and state income tax returns for all persons residing in the principal residence, “including any property tax credit returns, filed in the immediately preceding year or in the current year must be submitted Yin this application. Federal and state income tax returns are not required for a person residing in the principal residence -f that person was not required to file a federal or state income tax retum in the tax year in which the exemption under this section Is claimed or in the immediately preceding tax year. PART 13: POLICY AND GUIDELINES ACKNOWLEDGMENT The governing body of the local assessing unit shall determine and make available to the public the policy and guidelines used for the granting of exemptions under MCL 211.7u. In order to be eligible for the exemption, the applicant must meet the federal poverty guidelines published in the prior calendar year in the Federal Register by the United States Department of Health and Human Services under its authority to revise the poverty line under 42 USC 9902, or alternative guidelines adopted by the governing body of the local assessing unit so long as the alternative guidelines do not provide income eligibility requirements less than the federal guidelines. The policy and guidelines must include, but are not limited to, the specific income and asset levels of the claimant and total household income and assets. The combined assets of all persons must not exceed the limits set forth in the guidelines adopted by the local assessing unit. The applicant has reviewed the applicable policy and guidelines adopted by the city or township, including the specific income and asset levels of the claimant and total household income and assets. PART 14: LEGAL DESIGNEE INFORMATION (Complete if applicable.) Legal Designes Name Daytime Telephone Number Mailing Address City State ZIP Code PART 15: CERTIFICATION 1 hereby certify to the best of my knowledge that the information provided in this form is complete, accurate and | am ; eligible for the exemption from property taxes pursuant to Michigan Compiled Law, Section 211.7u. Printed Name 57; 5227 S-Frnet=VarCou ~1- Signature 57 777. S Geoih Som Come? Date TAR M. Stines—\fanlowrt a 2-19-24 [aa 15 ITe This application shall be filed after January 1, but before the day prior to the last day of the local unit's December Board of Review. Decision of the March Board of Review may be appealed by petition to the Michigan Tax Tribunal by July 31 of the current year. A July or December Board of Review decision may be appealed to the Michigan Tax Tribunal by petition within 30 days of decision. A copy of the Board of Review decision must be included with the petition. Michigan Tax Tribunal PO Box 30232 Lansing MI 48909 Phone: 517-335-9760 Email: taxtrib@michigan.goy
Page 10
Michigan Department of Treasury 5739 (01-21) Affirmation of Ownership and Occupancy to Remain Exempt by of Poverty * this form is issued under the authority of Public Act 253 of 2020. PART 1: OWNER INFORMATION — Enter information for the person owning and occupying the residence. Owner Name j Owner Telephone Number Susan M. Stines-Van Covet 269-502-0681 Mailing Address City State ZIP Code 2424 3-3 Shared Katamazos mE | 49009 PART 2: LEGAL DESIGNEE INFORMATION (Complete If applicable.) Legal Designee Name ] Daytims Telephone Number Malling Address City ] State ZIP Code PART 3: HOMESTEAD PROPERTY INFORMATION — Enter information for property in which the exemption is being claimed. City or Township (check the appropriate box and enter name) County city [HfTownship [] village | meteors Yalamazoao Name of Local School District Kalamazoo Parcel Identification Number Year(s) Exemption Previously Granted by Board of Revisw 29-05-2"7- 480-060 Homestead Properly Address City State ZIP Code z424 5. FOr Sve Ralamazes MI-| 45009 "PART 4: AFFIRMATION OF OWNERSHIP, OCCUPANCY, AND INCOME STATUS (Check all boxes that apply.) [1 own the property in which the exemption is being claimed. [The property in which the exemption is being claimed is used as my homestead. Homestead is generally defined as any dwelling with its land and buildings where a family makes its home. [A After establishing Initial eligibility for the exemption, my income and asset status has remained unchanged and/or | receive a fixed income solely from public assistance that is not subject to significant annual increases beyond the rate of inflation, such as federal Supplemental Security Income or Social Security disability or retirement benefits. PART §: CERTIFICATION I hereby certify to the best of my knowledge that the information provided on this form is true and | am eligible to receive an exemption from property taxes by reason of poverly pursuant to Michigan Compiled Law, Section 211.7u. Sued Legal Dastgnas Name (bri, ~ Ee Date wz C Hisar 1. SHines Aonlourt” Tot It She - Vo Oph 217-24 Designee must attach a letter of authority.
Page 11
Michigan Deparment of Treasury 4988 (05-12) _Poverty Exemption Affidavit . his 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 214,7u(2)(b) requires proof of eligibility for the exemption be provided to the board of review by supplying coples 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. Tadd pr. SEines Vanlourt™ |, Susan m. Stines - Van Court , 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: 242.4 S. BT h Shes Kalamazeo LMT 47007 Soe Soro Yolo a > 2) 9-26 Signature of Person Making Affidavit Date
Page 12
Dopartment of the Treasury ~intornal Rovenus Sarvica
£1040 U.S. Individual income Tax Return |2025 OMB No. ison] 1RS Uso Only~—Do not wits or talon hia 69aco.
For tho yoar
Jan, 1-Deo. 81, 20285, of othor tax yaar boglnning
+ 2025, ending
120
| Soe sopamts instructions.
[3 Riod pursuant 10 soction 301.8102 [] Combat zone
"__[Jooceased
Spouse
"[Clother
|
]
Your first name and middle Initia)
Last namo
Your soelal securitv number
Susan
Stines-VanCourt
1 Joint rotum, spouse's first namo and middle tnittal
Last name
Spouse's social seciatv number
Todd M
Stines-VanCourt
Homo addross {number and street). If you havo a P.O. box, seo Instructions.
Apt. no.
Took borg your
mel om, 50
2424 § 8th St
psa
anti, vs li
City, town, or post office. If you have a foralgn address, also complote spaces below,
State
2IP coda
Presidential Election san L]
Kalamazoo
MI
490099378
inp ley i
5 gto
Foralgn country name
Foreign province/state/county
Forolgn postal code
[fie Ain a
8
enr ow
You
[7] Spouse
[J Head of housshold (HOH)
Filing Status
LJ Single
[J Quatttying surviving spouse (QSS)
[Xl Married filing Jointly (even if only one hed Income)
Check only
?,
9]
g
one box.
O Martod fing. sopealoly {MFS). Enter spousa’s SSN above
Mya Bird he HOH or ass povkid or one 's nama
[]
# treating a nonresident allen or dual-status allen spause as a U.S. resident for the antire tax year, check the box and enter their
name (see Instructions and attach statement If required):
Digltal Assets 4
or Oinarion iokoue of dial eouct or & Shane tosess &
gto Beem? ooo estoebomns 2 [Yes
[No
Dependents
Dependent 1
Dependant 2
Depondent 3
Depondont 4
(see Instruction)
(§) Firstname
| Matthew
C
fimore
(9) Lastnama | Stines~VanCourt
than four
BssN
dopandants,
(4) Rotatlonship| Son
ond anos
1
Crockiivd
a) (6 Vas
Wve
w Ives
@ Ove
toro.
. C1 fun
batotoces|
go)
RK] Anamtho
uss.
® [J And inthe
UB.
) [JAndmwmous,
© (amintous.
ones
| C1 kt [CT Ferns 0 Diie |C0 emene Oia Oats” Okie [Opens
WGndts
[1] Chige
| BY Gator
| [J Grid
| [] Cpoutfor
1 Cex
| TJ Groat
for | [J Ghllgion | 1] Goat
for
Fo
dents
dopondonts
dependents
J Check
If your
status
Is MFS or HOH and you lived apart from your spouse for the last 8 months
of 2028, or you are legally
separated according
to your state law under a written
n agreament
or a decree of agparate melntenance and you did
not
live in the same household as your spouse at the end of
2025.
Income
1a
Total amount from Form(s) W-2, box 1 (See Instructions)
.
.
.
.
.
.
.
.
.
,
.
1a
24,565.
Attach Form(s)
b
Household employee wages not reported on Forms)W-2.
.
.
.
.
.
.
ib
py har Ried
¢
Tipincoma not reported on line 1a (sea Instructions)
,
.
.
1c
W-2Q and
d
Madicald walver payments not reported on Form(s) W-2 (see netruotions)
1d
1oBp-R sax
e
Taxable depandent care benefits from Form 2441, fine 268
Coe
ee
ea
1e
you did not
{
Employer-provided adoption benefits from Form 8839, lne31
.
.
.
.
.
.
.
.
.
1
get a Form
g Wages
from Form 8918, line 6
.
.
Coe
eee ee
| 1g |
Waise0
bh
Other eamed income (seo Instructions). Enter
type and amount:
1h
0.
I
Nontaxable combat pay election (see Instructions} .
vo.
[
11
|
Zz
Addlnestathroughth
.
.
.
.
.
LL.
LL.
Loe ew
ss
2
24,565.
Attach 8ch.B
2a
Tax-exempt Interest
.
2a
b Taxable Interest
2h
325,
1 required.
8a_
Qualified dividends
.
Lg
15.)
b Ordinary dividends
.
3b
15,
© Check
Hf your child's dividends
am Included In
1 [] Line 3a
2 [J] tine 3b
4a
IRA dIstributions
.
4a
b Taxabloamount,
.
.
.
4b
©
Check
(see Instructions)
.
1 [J Rollover
2 (Jaco
sdPage 13
Form 1040 2025)
Page 2
Tax and
116
Amount from line 11a (adjusted gross income)
.
.
.
FOP
5
65,013,
Credits
,
12a
Somsaons can claim
[OJ vouasa dependent
oO Your spouse asa dependant
b
[J Spouse itemizes an a separate retum
¢ [J You were a dual-status allen
.
d
You
[J werebom before danuary2,1881
[J Are blind
ndord
L——.
Spouse:
[1 Was bom before January 2, 1981
0 ts bing
weduollonfor— 0 Standard doduction or itomizod doductions (from Sohedute A),
.
.
.
.
.
.
.
.
.
.
[12
31,500.
hd Se
ng
13s
Qualified business income deduction from Form 8886 orForm8895-A
.
.
.
.
.
.
.
.
.
[13a
saparately,
b
Additional deductions from Schedule 4-A,tihed8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
[18
52.
Neostng
| 14
Addlinesi2e
13a, and 13.
.
.
.
EY
31,552.
Jolntly or
18
Subtract iine 14 from line 11b. if zero or Joss, entor 0 This Is your taxable income
Ce
ee
18
33,461.
Sunliving
16
Tax (see Instructions). Check Hany from Form(s:
1 [18814
2402
3 3
18
3,456.
apotise,
17
AmountfromSchedule2,ne3
.
.
.
.
.
LL
«+
.
.
.
.
4a...
oe.
17
702.
Rd
18
AddMnes Band?
.
.
.
.
BR
ET
4,158.
household,
19
Child tax cradit or credit for other dopandents from Sohodute so12
Ce
ee
ee
ee
19
500.
2020
20
AmourtfamSchedue3,0ne8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
..
.
..
|20
aboxonne
| 2f
Addiines19and20 .
.
.
.
.
.
.
.
Ce
ee
ee
ae
ee
ee
21
500.
1ooito. J 22
Subtract Ine 21 from lino 18. H zero or tess, eter. oo
a
3,658.
23
Other taxes, Including self-employment tax, from Schedule 2, ne 21
LL...
23
50.
24
Addines22end23. Thisisyourtotaltax
.
.
.
.
.
.
.
.
,
.
.
.
.
.
,
.
.
124
3,708.
Payments
28
Federal Income tax withheld from:
and
8
Forn@W-2
.
.
.
.
«
«
+
«
«
«
«
vv
«vv
v
.
|25a
80.
Refundable
b
Fomn{g)1088 .
.
.
.
P17)
4,424.
radits
¢
Other forms (sea nstructions)
Ce
ee
ee
te
eee.
25¢
d
Addlines26athrough25c
.
.
.
.
.
FE
FJ
4,504.
28
2025 estimated tax payments and amount applied from 2024 rotum
Doe
ee eee
28
if you made estimated tax payments with your former spouse in 2028,
anter thelr SSN {see instructions);
if you have a
Qualtying hid,
Eamed income credit EIC) .
.
.
.
ee
ee eee
27a
Clergy fling Schedule SE {sce Instructions)
ch
ee
ee,
¢
If you do not want to claim the EIC, check here
,
.
FE
|
28
Additional child tax credit (ACTC) from Schedule 8812. ity you a not want
to claim the ACTC, check here.
.
SPN
O28
28
American opportunity credit from Form gas, ine EN
29
30
Refundable adoption credk from Form 8838,1ne13
.
,
.
.
.
.
30
31
Amountfrom Schedule 3, line 16
.
.
.
.
31
32
Add lines 27a, 28, 29, 30, and 31. These are your total other payments and refundable credits
.
32
33
Add [lines 25d, 28, and 32. These aro yourtotelpayments
.
.
.
.
.
L
33
4,504,
Refund
34
if lina 33 Is mare than line 24, subtract line 24 from line 33. This is the amount You overpaid
a.
34
796.
353
Amount of line 34 - wart refunded to you. (f Form 8888 is attached, Re here
.
.
[J
[35a
796.
Directdepost?
b
Routing number
J Checking
[J Savings
Sao Instructions.
d
Acoountnumber
|
J
36
Amount of ine 34 you want epplled to your 2026 estimated
tax .
.
.
| 36
Amount
37
Subtract line 33 from line 24. This is the amount you owe.
You Owe
For datalls an how to pay, go to www.hs.gov/Paymentsorseeldnstructions .
.
.
.
.
.
.
.
| 87
38
Estimated tax penalty (see Instructions)
.
.
.
...
las]
Third Party
Do you want to eliow another person to discuss this pore with he "eT Seo Instructions.
[| Yas. Complete bolow,
No
Designee
Deslgnoe's
Phone
Pomonal Idanttiloation
name
no.
number (PIN)
OD
Sign
Undor ponaltios of porjury, | declare that | havo examined this retum and
wpanying schedules
and
1ents, and ta the best of my inowledge and
Here
bullet, thay
are tue, comet, end completo. Declaration of preparer
(other than taxpayer) Is busod
on oll information
of which preparer has any knowiedge.Page 14
Michigdn Department of Troasury (Rev, 06-25), Page 1 of 3
2025 MICHIGAN Individual Income Tax Return MI-1040
issued under authority of Public Act 281 of 1687, as amendsd.
Amended Return
"Return Is dus April 16, 2026.
Typs or print in blus or black ink.
(include Schedule AMD) -
1. Fier's First Namo
MI. | Loat Namo
2. Filor'n Full Social Security No, (Examplo: 123-465-6760)
SUSAN
STINES-VANCOURT
if a Joint Retum, Spouse's First Nome
MI § Last Nemo
TODD
M | STINES-VANCOURT
3. Spouse's Full Soctal Security No. (Example; 12345-6780)
Homa Addross (Number, Stract, of P.O, Box)
2424
8
8TH
ST
Clty or Town
Stato
| ZIP/Postal Codo
| Country Gode | 4. Bohool DIstiet Goda ( digits)
KALAMAZOO
MI_
{49009-9378
39010
6.
STATE CAMPAIGN FUND
Check if you (and/or your apousa, If
filing a jolnt ratum) want $3 of your taxes
to go to this fund. This will not increase
your tax or reduce your refund,
8,
FARMERS, FISHERMEN, OR SEAFARERS
(I Check this box if 2/3 of your Income Is from farming,
:
fishing, or seafaring,
7.
2026 FILING STATUS, Chack ona.
a. 1
Single
b.[X] Manled filing jointy
below:
* If you check box “6,” complete
{ine 3 and enter spouse's full namo
e.[] Manied fiing separately”
8.
2025 RESIDENCY STATUS. Check ali that apply.
a, X] Resldant
* If you check box *b* or
*e," you must complate
and Include Schodulo
NR.
b. O Nonresident *
[8 CO Part-Yoar Resident *
9.
EXEMPTIONS, NOTE: If someons else can clalm you as a dependent, check box 96, enter 0 on line 9a and enter $1,500 on lina 0e (see Instr).
a. Number
of exemptions (868 INSIUCHONS).....eccurverecrsisesrsessasmanersessssersunn ——
9a.
3
|x
$5800
ga
174 00 00
b. Number of Individuals who qualify for one of the following special exemptions: deaf,
.
bilnd, hemiplegic, paraplegic, quadriplegic, or totally and permanently disabled
gb,
11x
$3400
ob,
3400100
¢. Number of qualified disabled vetarens...
go.
x
$500
So.
00
d. Number of Certificates of Stllbirth from MDHHS (560 INSIUCHONS) ..vrvsessesmsmeeens
9d.
x
$5800
8d,
00
o. Claimed as dependent, $6 [119
© NOTE 8BOVE v.nrsrerne emesis
98. |]
%e,
00
{.
Add lines 8a, 8b, O¢, 0d and 8e. Enter here and on lina 16.
of |
20800]00
10.
Adjusted Gross income from your U.S, Form 1040 {sae Instructions)... bar
Ess sapsasa ets
10.
65013]00
11.
Additions from Schadule 1, lina 8. include ELL
eT RAR
|
N
00
12.
Total Add fines 10 and 11.....
raven
SO
VPRO
12.
65013100
13.
Subtractions from Schedule 1, [6 31. MEIUTE BEREAUID 1 ..vvvvercsercsrmssmsimsssesssssmssssssssemsssssiiss
13.
28580}00
14.
Income subject to tax. Subtract lina 13 from Hine 12.
if line 13 Is grestsr than line 12, enter °0".............
14.
3643300Page 15
2025 Mi-1040, Page 3 of 3
’
Filer’s Full Social Security Number
‘PENALTY AND/OR INTEREST RELIEF REQUEST
35a, | Check this box If you and/or your spouse, if filing jointly, are eligible for a federal extension for service in a combat zone. Do not complete
‘
lines 36¢ or 36d.
:
35h. 0 Check this box if you and/or your spouse, if filing jointly, have been affected by a declared disaster zone in Michigan (sea Instruciions).
Complete lines 366 and 35d.
360. Address affected by the declarad disaster,
3854, Enter tho disanter zane and describe how you ware affectad by the disaster (see Instructions).
REFUND OR TAX DUE
36.
{line 34 Is less than line 25, subtract fina 34 from line 25. if applicable, see Instructions,
Include interest
|
00] and penalty
|
[111] — YOUOWE
3s.
00
37,
Overpayment. If line 34 Is greater than line 25, subtract line 25 from IN8 34 ......cccurmmrssersssrnsnins
37.
957400
38.
Credit Forward. Amount
of line 37 to be credited to your 2026 estimated tax for your 2026 tax return...
38.
00
39.
SUBLFACL NG 38 HOM NB 37,00 vce
ses snmssssmsrss
sms REFUND
39,
957 lo
DIGITAL ASSET (INCLUDING FINANCIAL INTEREST IN A DIGITAL ASSET)
40, O Cheol this box if you and/or your spouss, Hf filing jointly, engaged In any of the following during 2026:
+
Recelved a digital asset as a reward, award, or payment for property or services
«
Sold, exchanged, or otherwise disposed of a digital asset.
DIRECT DEPOSIT
a. Routing Tranalt Number
b. Account Number
¢. Typa of Account
Deposit your refund directly to your financial
Institution! See instructions and compiste a, b
ando.
1.[X] crockng
2. savings
Deceased Taxpayor. If Fier andfor Spouse dlod efor Decambor 31, 2024, enter dates bolow
|Preparer Certification. ¢decer under penalty of perury that
a9 (MM-0D-YYYY), ENTER DATE OF DEATH ONLY.
thiz refum Is baged on ll information of which 1 have any knowledge,
[Froparers FTIN, FEIN or SBN
Fllar
—
-_—
Spouse
—
Lad
Taxpayer Certification. {dectare under penalty of perury thal the Information In ths retum | F1eParer'e Nome (print or typo)
and atfachments Is true and compote fo the bos! of my knowiodgo.
Flier's Signature
Date
Proparer’s Signsture
SELF~-PREPARED
Proparers Businoss Name, Addross and Tolephone Number
Spouse's Signature
Date
By checking this box, { authorize Treasury to discuss my return with my preparer.
Refund, credit, or zero returns. Mall your retum to:
Michigan Dapartment of Treasury, Lansing, M! 48986Page 16
WARRANTY DEED The Grantor(s) Christopher LaPorte and Jessica LaPorte, husband and wife whose address is 2424 S 8th Street, Kalamazoo, MI 49009 convey(s) and warrant(s) to Susan Marguerite Stines-Vancourt and Todd Michael Stines-Vancourt, wife and husband whose address is 3141 Capital Ave, Battle Creek, MI 49015 the following described premises situated in the Township of Oshtemo, County of Kalamazoo, and State of Michigan: Commencing at the East one-quarter comer of Section 27, Town 2 South, Range 12 West, Osthemo Township, Kalamazoo County, Michigan; thence West along the East and West one-quarter line of said Section a distance of 186.00 feet; thence South parallel with the centerline of Eighth Street a distance of 165.00 feet; thence East parallel with the first course to the centerline of Eighth Street; thence North along the centerline of Eighth Street to the Place of Beginning, EXCEPTING commencing at the East one-quarter corner of Section 27, Town 2 South, Range 12 West, Osthemo Township, Kalamazoo County, Michigan; thence West 186.00 feet to the Place of Beginning of the exception; thence South 165.00 feet; parallel to the East line of said Section 27, (centerline of Eighth Street); thence East 65.00 feet parallel to the East and West one-quarter line of said Section 27; thence North 165.00 feet parallel to the East line of said Section 27 to the East and West one- quarter line of said Section 27; thence West 65.00 feet, along the East and West one-quarter line of said Section 27 to the Place of Beginning. The grantor grants to the grantee the right to make any/all division(s) under section 108 of the land division act, Act No. 288 of the Public Acts of 1967. also known as Property Address: 2424 § 8th Street, Kalamazoo, MI 49009 Sidwell No. 39-05-27-430-060 . "This property may be located within the vicinity of farmland or a farm operation. Generally accepted agricultural and management practices which may generate noise, dust, odors, and other associated conditions may be used and are protected by the Michigan right to farm act." for the sum of $173,000.00
Page 17
Be Dated this 7 “day of January, 2021. Signed by: hag Christopher LaPorte State of Michigan County of bev 1) The foregoing instrument was acknowledged before me this 7% day of January, 2021, by Christopher LaPorte and Jessica LaPorte, husband and wife. FOGER CLUBS rt : NOTARY PUBLIG-STATE OF MICHIGAN I Youd County, Dati My commission expires: — . Acting in the County of ‘When Recorded Return To: Send Subsequent Tax Bills To: Drafted By: Todd Stines-Vancourt Grantee Christopher LaPorte
Page 18
OCCUPANCY STATEMENT STINES-VANCOURT > Loan i: 0020016232 Date: JANUARY 7, 2021 Lender; OMNI COMMUNITY CREDIT UNION Borrowes(s): SUSAN MARGUERITE STINES-VANCOURT TODD MICHARL STINES-VANCOURT Property Address: 2424 8 8TH 6T, KALAMAZOO, MI 43009-9378 Borrower hereby declares, under penalty of pedury, as follows: ® Owner Occupled I/We will occupy the subject property ss myfoor principal residence within 60 days after the date of closing as required by, and in compliance with, the terms of the Deed of TrusUMortgage/Security Instrument relating to the subject property. I/We will contlntie to occupy the property as my/our principal residence for at least one year after the date of occupancy, unless Lender otherwise agrees in writing or extenuating circumstances exist which are beyond my/our control. [m] Occupled as a Second Home I/We will occupy the subject property as my/our second residence as required by, and in compliance with, the terms of the Deed of TrusMortgage/Security Instrument refating to the subject property. a Investmont Properly - Will Not Occupy 1/We will not occupy the subject property. VWe are aware of und understand that if at any time it ig determined that the foregoing statement is untrue, I/We will be subject to prosecution for fraud under applicable state laws, I centify under penalty of Chapter 18, U.S.C. 101010 1014 that the statement contained herein is true and correct. or ApH Boia Vir ~ BORROWER ~ SUSAN WMARGUERITE STINES-VANCOURT - DATE ~ Of -87 282.1 "BORROWER - TODD MICHAEL STXNES-VANCOURT - DATE olf. ° of @z/ State of MICHIGAN County of KALAMAZOO Subscribed und sworn to by SUSAN MARGUERITE ETINES-VANCOULZ DD MICHAEL STINES-VANCOURT before me on the day of Printed name Notary public, State of Michigan, County of My commission Expires — Acting in the County of KALAMAZOO (included when performing a notarial act outside of the Notarys county of commission) Chufstopher Curls NOTARY PUBLIC - STATE OF MICHIGAN COUNTY OF KALAMAZOO My Commission Expires February 28, 2025 Acting in the County of Val
Page 19
59 TREY @TTZ 0.25 Oshtemo Charter Township | | | 7275 W. Main St. AIVIN @31411 Kalamazoo, MI 49009 Michigan Tax 611 W. Otta Lansing, MI PO BOX 30232, Lans