02._Property_Tax_Appeal_Petition_Form_Principal_Residence_Qualified_Agricultural_Exemption.41fd1340-f56e-41d3-ab53-5bbf13eac0d0.pdf
Sharmeen Sultana, Petitioner V Michigan Department Of Treasury, Respondent · 25-003557-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 Sharmeen M.I. Last Name/Company Name Sultana Mailing Address (No., Street, P.O. Box or Rural Route) 2682 whalen st City or Town Hamtramck State Michigan ZIP Code 48212 Telephone Number 313-365-1663 Fax Number E-mail Address (do not enter unless you want MTT to send all correspondence via e-mail) mahfuz2460@yahoo.com Section 2: Petitioner’s Attorney/Authorized Representative’s Contact Information First Name Sharmeen M.I. Last Name Sultana Firm Name (if any) Address (No., Street, P.O. Box or Rural Route) 2682 whalen st City or Town Hamtramck State Michigan ZIP Code 48212 Telephone Number 313-365-1663 Fax Number E-mail Address mahfuz2460@yahoo.com Section 3: Subject Property Information Parcel Identification Number: 41007150037000 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) 2682 whalen hamtramck
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STATE OF MICHIGAN GRETCHEN WHITMER GOVERNOR DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING ORLENE HAWKS DIRECTOR Michigan 48212 Taxing Authority: City Of Hamtramck (WAYNE) County: Wayne Classification of Property: Personal Residential Section 4: Check which of the following you are appealing Principal Residence Exemption Section 5: Explain the Reason for this Appeal This is my primary residence. I provided proof this being my primary residence. However, I am being denied the principal residence exemption, please advise. Section 6: Jurisdictional Issues List the year(s) denied: 2022, 2023, 2024 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: 09/15/25 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: SHARMEEN SULTANA /s/