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25-001981.pdf

Jake Investments Solutions Inc, Petitioner V City Of Muskegon, Respondent · 25-001981-TT

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Page 1

MUSKEGON COUNTY 

I oP 

TT AIT 

GE EE Ti BEER MU SPR Sy 

| 

M 

1 

C 

H 

I 

G 

A 

Npeceep 

AUG 0 1 2025 

MICHIGAN TAX TRIBUNAL 

Michigan Tax Tribunal 

PO Box 30232 

Lansing M1 48909 

July 30, 2025 

RE: 

MTT 25-001981 

Dear Tribunal 

Please see the enclosed documentation for the above-mentioned Small Claims case: 

e 

Property Tax Appeal Answer Form 

e 

Copy of Assessment Notice 

o 

Copy of March Board of Review Notice 

e 

Property Record Card and sketches 

e 

Proof of Service 

These documents are filed in compliance with the Notice of Docket Number issued by the 

MTT on July 3, 2025. 

If you have any questions, please contact me at 231-724-3473. 

Sincerely, 

pos 

ty Equalization 

Wesley Dault 

MAAO 

Senior Appraiser 

cc: Jake Investments Solutions Inc, Petitioner 

Enclosures

Page 2

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

GOVERNOR 

LANSING 

MARLON 

I. BROWN, DPA 

DIRECTOR 

PROPERTY TAX APPEAL ANSWER FORM 

VALUATION / EXEMPTION / CLASSIFICATION APPEAL 

MTT DOCKET NO. 25001981 

Section 1: Respondent’s Contact Information 

FirstName 

Mma, 

Last Name 

City of Muskegon 

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

993 Terrace St 

City or Town 

State 

ZIP Code 

Muskegon 

Mi 

49440 

Telephone Number 231-750-6750 

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

Section 2: Respondent’s Attorney/Authorized Representative’s Contact Information 

First Name 

MIL. 

Wesley 

Last Name 

Dault 

Firm Name (if any) Muskegon County Equalization 

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

173 E Apple Ave Ste 201 

City or Town 

State 

Muskegon 

Mi 

ZIP Code 

49442 

Telephone Number 23 1 -750-6750 

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

a 

Section 3: Subject Property Information 

O Yes 

[wil No 

Does the subject property have a Principal Residence Exemption of 50% or more? 

[Yes 

[J No 

[i Notappiicable 

Are the parcels listed by Petitioner contiguous or adjoining? 

If not, list which parcels adjoin one another.

Page 3

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON |. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Section 4: Explain Your Answer to this Appeal 

Petitioner appeared to the 2025 March Board of Review. The board adjusted the 

property's assessed value from 108,700 to 90,000. The taxable value was not adjusted 

and is at 76,428. Property is a 4-Unit Multi-Family Dwelling. 

Section 5: Jurisdictional Issues 

IF PETITIONER IS APPEALING THE TRUE CASH AND/OR TAXABLE VALUES 

Did Petitioner protest the assessment at a Board of Review (BOR)? [ves 

[No 

if yes, check which BOR Petitioner attended: [] March 

[J July 

[] December 

If no, was the Notice of Assessment properly sent to Petitioner prior to the March BOR? [I Yes 

[IR] No 

*Submit a copy of the Notice of Assessment with the Answer. 

If the July or December BOR revised the assessment(s) atissue, did it have authority? [mi] Yes 

[mm] No 

If yes, cite the Board's authority. 

Was the assessment(s) at issue established as the result of a clerical error or mutual mistake of fact? [IN] Yes 

[wi] No 

i yes, explain 

Is Petitioner appeating from a State Tax Commission Order? 

O Yes 

[A No 

If so, what Is the issue date? 

IF PETITIONER IS APPEALING THE UNCAPPING OF TAXABLE VALUE

Page 4

STATE OF MICHIGAN 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

Did Petitioner request a Poverty Exemption ata BOR? [] Yes 

[| No 

If Yes, check which BOR Petitioner attended: [| March 

[| July 

[] December 

List the date the BOR denied Petitioner's Poverty Exemption: 

IF PETITIONER IS APPEALING THE DENIAL OF AN EXEMPTION 

OTHER THAN POVERTY, PRINCIPAL RESIDENCE, OR QUALIFIED AGRICULTURAL EXEMPTIONS 

Did Petitioner request the exemptionataBOR? [| Yes 

[No 

If Yes, check which BOR Petitioner attended: [| March 

[] July 

[] December 

Tax Year(s) denied: 

List the date the exemption was denied: 

What statutory section did Petitioner request the subject property be exempt? 

IF PETITIONER IS APPEALING THE CLASSIFICATION OF PROPERTY 

What do you believe the classification should be: 

Real 

Personal 

(check one) 

0 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

Developmental 

Utility 

(check one) 

Section 6: Valuation Information *use the multiple parcel form for additional, contiguous parcels. 

Parcel Identification Number: 

24-205-430-0007-00 

Classification of Property: 

Real 

Personal 

(check one) 

Agricultural 

Commercial 

Industrial 

Residential 

Timber-Cutover 

Developmental 

Utility 

(check one) 

Current Assessed Value (also known as State Equalized Value) as established by the BOR: 

90,000 

Current Taxable Value as established by the BOR: 

76,428 

What do you believe is the fair market value (also known as True Cash Value)? 

180,000 

Multiply the True Cash Value by .5 and enter here. This is your contention of Assessed Value. 

90,000 

If you believe the Taxable Value differs from your contention of Assessed Value, enter your contention of Taxable Value. 

Signature required

Page 5

Michigan Department of Treasury, 

THIS IS NOT A TAX BILL 

1019 (Rey, 10-24) 

L-4400 

Notice of Assessment, Taxable Valuation, and Property Classification 

This form Is Issued under the authorily of P.A. 206 of 1893, Sec. 211.24 (c) and Sec.211.3c, as amended. This is a model assessment notice lo be used by the local assessor. 

FROM. CITY OF MUSKEGON 

PARCEL IDENTIFICATION 

MUSKEGON COUNTY EQUALIZATION 

PARCEL NUMBER: 

- 

- 

173 E APPLE AVE SUITE 201 

24-205-430-0007-00 

MUSKEGON MI 49442 

PROPERTY ADDRESS: 

i 

1596 8TH ST 

MUSKEGON, Mi 49441 

OWNER'S NAME & ADDRESS/PERSON NAMED ON ASSESSMENT ROLL: 

PRINCIPAL RESIDENCE EXEMPTION 

NE TMEN TS 59 LUTIONS INC 

% Exempt As "Homeowners Principal Residence”: 

.00% 

UN 

% Exempt 

As "Qualified Agricultural Property™ 

00% 

TAMPA FL 33608 

% Exempt 

As "MBT Industrial Personal: 

.00% 

% Exempt As "MBT Commercial Personal”: 

00% 

Exempt 

As "Qualified Forest Property: 

O00 Yes 

No 

Exempt 

As "Development Property”: 

[] Yes 

No 

LEGAL DESCRIPTION: 

CITY OF MUSKEGON 

REVISED PLAT 1903 

LOT 7 BLK 430 

ACCORDING TO MCL 211.34¢ THIS PROPERTY IS CLASSIFIED AS: 

401 

Residential 

PRIOR YEAR'S CLASSIFICATION: 

401 

Residential 

The change in taxable value will increase/decrease your tax bill for the 2025 

PRIOR AMOUNT 

CURRENT TENTATIVE 

CHANGE FROM 

year by approximately: 

YEAR: 

2024 

AMOUNT YEAR: 05 

CORRE 

YEAR 

1. TAXABLE VALUE: 

74,130 

76,428 

2,298 

2. ASSESSED VALUE: 

89,900 

108,700 

18,800 

3. TENTATIVE EQUALIZATION FACTOR: 

1.000 

a 

_ 

a 

: 

4. STATE EQUALIZED VALUE (SEV): 

89,900 

90,000 

18,800 

5. There WAS or WAS NOT a transfer of ownership on this property in2024 

WAS NOT 

Market Adjustment 

6. Assessor Change Reason: 

The 2025 Inflation rate Multiplier is: 1.031 

Questions regarding the Notice of Assessment, Taxable Valuation, and Property Classification may be directed to the Following: 

Name: 

DONNA VANDERVRIES 

Phone: 

(231) 724-3473 

Emait Address: 

DAULTWE@CO.MUSKEGON.MLUS 

March Board of Review Appeal Information. The board of review will meet at the following dates and times:

Page 6

07/30/2025 

09:31 AM 

2025 BOARD OF REVIEW DECISION 

FROM 

CITY OF MUSKEGON 

MUSKEGON COUNTY EQUALIZATIO 

173 E APPLE AVE SUITE 201 

. 

MUSKEGON MI 49442 

NAME AND ADDRESS OF OWNER OR PERSON NAMED ON ASSESSMENT ROLL: 

PROPERTY IDENTIFICATION: (Parcel Code required. Property address 

and legal description optional.) 

24-205-430-0007-00 

1596 8TH ST 

JAKE INVESTMENTS SOLUTIONS IN 

2000 E 12TH AVE UNIT 5123 

TAMPA FL 33605 

CITY OF MUSKEGON REVISED PLAT 1903 LOT 7 BLK 430 

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 

24-205-430-0007-00 

They have made the following determination based on the information you supplied. 

Board of Review Comments 

ADJ TO MARKET VALUE 

| 2025 

ORIGINAL ASSESSED VALUE 

108,700 

| 

[2025 "BOARD OF REVIEW" ASSESSED VALUE 

90,000 

| 

(If the above amounts are the same, no revisions have occured) 

2025 

ORIGINAL TAXABLE VALUE 

76,428 

2025 

"BOARD OF REVIEW" TAXABLE VALUE 

76,428 

2025 

PRINCIPAL RESIDENCE EXEMPTION/QUALIFIED AG 

0.0000 

Please feel free to contact the assessor at the address listed above or call if you have any questions. 

“Effective March 1, 2013, the Tribunal is no longer able to accept Small Claims letter appeals. Rather, you are required to file a petition to 

initiate a new Small Claims appeal. Petition forms are available on this website.” 

http://www.michigan.gov/taxtrib/0,4677,7-187-38254---,00 html

Page 7

Parcel Number: 

24-205-430-0007-00 

Jurisdiction: 

CITY OF MUSKEGON 

County: 

MUSKEGON 

Printed on 

07/30/2025 

Grantor 

Grantee 

Sale 

Sale 

Inst. 

Terms 

of Sale 

Liber 

Verified 

Prent. 

Price 

Date 

Type 

& 

Page 

By 

Trans. 

CHLADEK JACOB/TRISHA 

JAKE 

INVESTMENTS SOLUTION 

175,000} 

05/03/2022 

{wD 

03-ARM'S 

LENGTH 

4299/664 

PROPERTY TRANSFER 

100.0 

CHLADEK JACOB 

CHLADEK JACOR/TRISHA 

0] 

06/30/2018 

{QC 

21-NOT USED/OTHER 

4162/286 

DEED 

0.0 

STEPHENS HOMES AND INVEST 

|CHLADEK JACOB 

110,000{ 

06/25/2018 

[WD 

03-ARM'S LENGTH 

4161/353 

PROPERTY TRANSFER | 

100.0 

KNOX WAYNE 

T 

STEPHENS HOMES AND INVEST 

35,000f 

06/01/2016 

{WD 

03-ARM'S 

LENGTH 

4090/596 

PROPERTY TRANSFER 

100.0 

Property Address 

Class: 

RESIDENTIAL-IMPRO 

Zoning: 

FBC-U 

Building 

Permit (s) 

Date 

Number 

Status 

1596 

8TH 

ST 

School: 

MUSKEGON CITY 

SCHOOL 

DIST 

PLUMBING 

02/13/2023 

[PP230069 

COMPLETE 

P.R.E. 

0% 

Res. 

Replace Water Heater 

02/02/2022 

[PM220078 

COMPLETE 

0 

Owner's Name/Address 

MAD ¥: 24-31-30-333-009 

PLUMBING 

01/02/2013 

[pP180001 

COMPLETE 

JAKE 

INVESTMENTS SOLUTIONS 

INC 

3 

Vv 

2 

7 

[3] 

OMPLE 

2000 

E 

12TH AVE UNIT 

5123 

2026 

Est 

TCV 

Tentative MECHANICAL 

11/28/201 

PM170585 

Cc 

TE 

TAMPA 

FL 

33605 

Improved 

I 

[vacant 

Land Value Estimates 

for Land Table R07.1.R07.1 

NELSON GENERAL RESIDENTIAL 

Public 

* 

Factors 

* 

Improvements 

Description 

Frontage 

Depth 

Front 

Depth 

Rate 

%Adj. 

Reason 

Value 

— 

Dirt Road 

<Site Value B> TYPICAL .13-.20 

8200 

100 

55%150 

8,200 

Tax Description 

Gravel Road 

55 Actual 

Front 

Feet, 

0.19 Total Acres 

Total 

Est. 

Land Value 

= 

8,200 

CITY OF MUSKEGON 

x 

paved Road 

REVISED 

PLAT 

1903 

LOT 

7 

BLK 430 

X 

[Storm Sewer 

Land Improvement Cost Estimates 

Comments / Influences 

X 

(Sidewalk 

Description 

Rate 

Size 

% Good 

Cash Value 

X 

[Water 

D/W/P: 

3.5 Concrete 

5.94 

500 

25 

742 

X 

[Sewer 

Total Estimated Land Improvements True Cash Value 

= 

742 

X 

|Electric 

* 

X 

{Gas 

Work Description 

for 

Permit PP230069, 

Issued 02/13/2023: 

REPLACE WATER SERVICE 

X 

Curb 

FROM HOUSE 

TO PROPERTY LINE 

Street 

Lights 

Work Description 

for 

Permit 

PP190001, 

Issued 01/02/2019: 

REPLACE WATER PIPE 

IN 

Standard Utilities 

MICHIGAN CELLAR 

Underground Utils. 

Work Description 

for Permit PM170595, 

Issued 11/28/2017: 

furnace AND DUCTWORK 

Topography 

of 

Work Description 

for Permit PE170907, 

Issued 10/27/2017: 

FURNACE 

Site 

Work Description 

for 

Permit 

PB100149, 

Issued 04/12/2010: 

REROOF DWELLING OVER 

ONE LAYER 

X 

|Level 

Work Description for Permit PE090035, 

Issued 01/26/2009: RELOCATE METER TO 

Rolling 

OUTSIDE OF DWELLING 

Low 

Work Description for Permit PE080599, 

Issued 12/12/2008: REPAIRS 

PER CITY 

High 

LETTER 

X 

Landscaped 

Work Description for Permit PM070436, 

Issued 11/01/2007: REPLACE FURNACE 

wamp 

Wooded 

Pond 

Waterfront 

Ravine 

Wetland 

— 

. 

Flood Plain 

Year 

Land 

Building 

Assessed 

Board 

of| 

Tribunal/ 

Taxable 

Value 

Value 

Value 

Review 

Other 

Value 

Who 

When 

What 

2026 

Tentative 

Tentative 

Tentative 

Tentative 

2 

= 

i 

e 

RMM 12/27/2010 REVIEWED 

2025 

4,100 

104,600 

108,700 

90,000M 

76,428C 

The Equalizer. 

Copyright 

(c} 

1999 

- 2009. mmm 05/15/2009 DATA ENTRY 7551 

3,300 

56,600 

55,900 

54, 130C 

Licensed 

To: 

County 

of Muskegon 

Michigan 

[pC 

12/22/2008 

DATA ENTRY 

! 

2023 

3,000 

67,600 

70,600 

70,6008 

*** 

Information herein deemed reliable 

but 

not guaranteed***

Page 8

Parcel Number: 

24-205-430-0007-00, 

Land Image 

8TH ST 

150" 

, 

BLOCK 430 

LOT7 

8250 SF 

55' 

Sketch by Apes Sketch 

*%* 

Information herein deemed reliable 

but 

not guaranteed*** 

Printed 

on 

07/30/2025

Page 9

Residential Building 

1 

of 

1 

Parcel Number: 

24-205-430-0007-00 

Printed 

on 

07/30/2025 

Building Type 

(3) 

Roof 

(cont.) 

{11) 

Heating/Coolin: 

(15) 

Built-~ins 

(15) 

Fireplaces 

(16) 

Porches/Decks 

(17) 

Garage 

9 

X 

[Single 

Family 

Eavestrough 

X 

iGas 

oil 

Elec. 

Appliance Allow. 

Interior 

1 

Story 

[Area Type 

Year Built: 

Mobile Home 

Insulation 

Wood 

Coal 

Steam 

Cook 

Top 

Interior 

2 

Story 

55/CeP 

Ti Stor car Capacity: 

Town Home 

0|Front Overhang 

7 

Ta 

Dishwasher 

2nd/Same 

Stack 

galwce 

(2 stom) 

Class: 

Duplex 

0[Other Overhang 

x 

rong Air w/o Ducts 

Garbage Disposal 

Two Sided 

¥) 

|Exterior: 

A-Frame 

roreed pax ne Ducts 

Bath Heater 

Exterior 

1 Story 

Brick Ven.: 

(4) 

Interior 

. 

Vent 

Fan 

Exterior 

2 

Story 

Stone Ven.: 

X 

|Wood 

Frame 

Bloctrlc Baseboard 

Hot 

Tub 

Prefab 

1 

Story 

Common Wall: 

Drywall 

|X 

[Plaster 

: pS 

Ceil. 

py 

lant 

Unvented Hood 

Prefab 

2 

Story 

Foundation: 

Building Style: 

Paneled 

Wood T&G 

oan 

fant oon 

Vented Hood 

Heat Circulator 

Finished 

2: 

MULTI-FAMILY 

Trim 

& 

Decoration 

Space Heater 

Intercom 

Raised Hearth 

Auto. 

Doors: 

Yr Built 

Remodeled 

Wall EL 

F 

Jacuzzi 

Tub 

Wood Stove 

Mech. 

Doors: 

[E= [%]oxd 

| 

[rin 

a 

oor 

Furnace 

Jacuzzi repl.Tub 

Direct-Vented Ga 

Area: 

0 

4 

UNIT 

|0 

_ 

Forced Heat 

& Cool 

oven 

% 

Good: 

Condition: 

Average 

Size 

of Closets 

Heat 

Pump 

. 

Microwave 

Class: 

o 50 

Storage Area: 

E35 E [o=d 

Smai1] 

|No Heating/Cooling 

Standard Range 

oes: 

hoe: Ao 

No Conc. 

Floor: 

7 

T 

1 

Ai 

Tor 

Room List 

Doors | 

|[sotid]x]n.c. 

pentral Air 

Self Clean Range | otal Base New 

: 

252,939 

E.C.F. 

[Bsmnt Garage: 

1|Basement 

57 

Floors 

_ 

Trash Compactor 

Total 

Depr Cost: 

126,467 

X 

1.373 

6list Floor 

i 

(12) 

Electric 

Central Vacuum 

Estimated T.C.V: 

173,639 

Carport Area: 

6/2nd Floor 

Ki Lchen; Sazpeted 

100]Anps Service 

Security System 

co 

4|Bed: 

er: 

e 

ecrooms 

Other- 

No./Qual. 

of Fixtures 

[cost Est. 

for Res. 

Bldg: 

1 

Single Family 

MULTI-FAMILY 

— 

Cls OD 

Blt 

0 

(1) 

Exterior 

[Ex 

[Xora 

[ 

[fin 

(11) 

Heating System: 

Forced Air w/ Ducts 

Wood/Shingle 

(6) 

Ceilings 

Ground Area 

= 

1128 

SF 

Floor Area 

= 2256 

SF. 

Aluminum/Vinyl 

No. 

of Elec. Outlets 

Phy/Ab. Phy/Func/Econ/Comb. 

% Good=50/100/100/100/50 

Brick 

[Many 

| 

¥ ave. 

I 

[Few 

Building Areas 

X |asphalt 

(13) 

Plumbing 

Stories 

Exterior 

Foundation 

Size 

Cost New 

Depr. 

Cost 

X 

{Insulation 

PY 

= 

3) 

2 Story 

Siding 

Basement 

564 

n 

- 

verage 

Fixture(s) 

| 2 story 

Siding 

Crawl Space 

564 

(2) Windows 

(7) Excavation 

4 

|3 Fixture Bath 

Total: 

225, 661 

112,828 

X 

[Many 

Large 

Basement: 

564 

S.F. 

2 Fixture Bath 

Other Additions/Adjustments 

Avg. 

Avg. 

Crawl: 

564 

S.F. 

Softener, 

Auto 

Plumbing 

Few 

X 

(Smal 

Slab: 

0 

S.F. 

Softener, 

Manual 

3 Fixture Bath 

3 

11,169 

5,584 

Height 

to Joists: 

0.0 

Solar Water Heat 

Porches 

X 

[Wood Sash 

; 

Metal Sash 

No Plumbing 

CCP 

(1 Story) 

65 

1,692 

846 

Vinyl Sash 

(8) 

Basement 

Extra Toilet 

Foundation: 

Shallow 

65 

-699 

-349 

Double Hung 

Cone 

Book 

Extra Sink 

WCP 

(2 Story) 

84 

4,631 

2,316 

Horiz. 

Slide 

Poured Conc 

Separate Shower 

Foundation: 

Shallow 

84 

-800 

-400 

Casement 

Stone 

- 

Ceramic Tile Floor | yater/Sewer 

Double Glas 

Treated Wood 

Ceramic Tile Wains| 

public Sewer 

1 

1,279 

639 

N 

s 

reate 

O° 

Ceramic 

Tub Alcove 

10,006 

5,003 

Water Well, 

200 

Feet 

1 

’ 

. 

Patio Doors 

Concrete 

Floor 

Vent 

Fan 

Totals: 

252. 

939 

126. 

467 

Storms 

& 

Screens 

(9) 

Basement 

Finish 

. 

otals: 

; 

. 

37 

Roof 

(14) 

Water/Sewer 

Notes: 

sess 

5) 

i 

. 

= 

: 

. 

( 

Recreation 

SF 

Public Water 

ECF 

(R07.1 NELSON GENERAL RESIDENTIAL) 

1.373 

=> 

TCV 

1 

X 

[Gable 

Gambrel 

Living 

SE 

| 

|public Sewer 

Hip 

Mansazrd 

Walkout Doors 

(B) 

1 

Water well 

Flat 

Shed 

No Floor 

st 

1000 Gal Septic 

L 

Walkout 

Doors 

(A) 

2000 

Gal 

Septi 

X 

[Asphalt Shingle 

116) 

Floor Support 

a. 

eptic 

- 

Lump 

Sum 

Items: 

Joists: 

Chimney: 

Brick 

Unsupported Len: 

Cntr.Sup: 

*** 

Information herein deemed reliable 

but 

not guaranteed*+**

Page 10

Parcel 

Number: 

24-205~430-0007-00, 

Residential Building 

1 

Printed 

on 

07/30/2025 

47 

2S-FR-.5-BSMT 

1128 SF 

8TH ST 

Sketchby Apex Sketch 

*** 

Information herein deemed reliable 

but not guaranteed#**¥

Page 11

STATE OF MICHIGAN 

\ 

GRETCHEN WHITMER 

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS 

MARLON I. BROWN, DPA 

GOVERNOR 

LANSING 

DIRECTOR 

MICHIGAN TAX TRIBUNAL 

Jake Investments Solutions Inc 

Petitioner(s) 

v 

MTT Docket No, MTT 

25-001981 

City of Muskegon 

, 

Respondent(s) 

PROOF OF SERVICE 

Wesley Dault 

states that on 7/30/2025 

he/she 

[Name of person serving/mailing petition] 

[date of service] 

served a copy of the Valuation Appeal Answer Form relative to the above-captioned matter upon: 

[Provide name and address of the party/people being served] 

Michinan Tot Toibonal 

PO 

Bow 36232 

Lansing 

MT 

H%909 

pe) 

VS 2 

[Signature of person who is serving/mailing copy] 

Wesley Dault 

[Print/type name of person serving/mailing copy]

Page 12

Muskegor 

173 East A 

{ 

Suite 201 

LS 

Muskegon, MI 49442 

iii 

i 

Pio 

i 

Hi 

J feel 

M ichiga \ l

3023

PO 

Bo 

J 

Lansing 

MT 

) 

~/

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