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25 and 26 PPS and 5076.pdf

Randy Ayyar Petitioner V Township Of Waterford Respondent · 26-002464-TT

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Page 1

Valuation Report

DB:

Assessing-26

10/05/2026

02:42 PM

 103,400 103,400 103,400 103,400 103,400 103,400

2026 Assessed MBOR S.E.V. Capped ->Taxable<- PRE/MBT

 5,190 0 0 0 14,870 9,680

2026 New Eq. Adjustment Loss Additions Tax Adjustment Losses

 98,210 98,210 98,210 98,210 2.70

2025 Assessed MBOR S.E.V. Base for Cap IRM

Est. TCV/Total Floor Area = 0.00

2026 Est. T.C.V. W -99-12-000-340 = 206,798

Total Cost New= 386,028 TCV= 206,798 Assessed Value= 103,400

Solar Energy 0 100 0

15 & 16. Cable, Utility & Cellular Assets 0 TBL 0

14. Construction in Progress 0 50 0

13. Idle Equipment 0 TBL 0

 Section O. Rental Information 0 100 0

 Section N. Buildings on Leased Land 0 TBL 0

 Section M. Leasehold Improvements 107,760 TBL 29,095

 Section I. Qualified Personal Property 0 100 0

 Section H. Assessable Tools 0 100 0

 Section G. Other Assessable Personal Property 0 100 0

Pages 3 to 4. Other Personal Property Claimed Value Depr Depr.Value

TCV-> 29,095 

Total 107,760 

Prior 

2015 107,760*27%

During Improvements

Bought Leasehold

TCV-> 12,989 160,683 

Total 18,825 246,847 

Prior 

2016 TCV-> 4,031 

2017 Total 12,596 

2021 37,821*54% 2021 

2022 80,104*60% 2022 

2023 18,825*69% 64,249*67% 2023 12,596*32%

2024 64,673*76% 2024 

During & Fixtures & Equipment During Equipment

Bought Furniture Machinery Bought Computer

 << 2026 Statement (Current Year Statement) >> 

Map #: POST Township of Waterford WATERFORD, MI 48328 

Property Class: 251 4399 HIGHLAND RD 

W -99-12-000-340 2026 Est. T.C.V. WATERFORD DONUTS INC.

Page 2

Assessor's Copy 

This form must be completed 

and returned to the assessor b! 

February 20, 2025. 

Michigan Department of Treasury 

RoE under 

huthority 

of 

Public Act 206 of 1893, 

So 1200 

u 

under authority 

of 

Public 

[¢] 

=] 

2- 

= 

Approved by the Stat Tax Commission August 20, 2024. 

99-12-000-340 

L-4175 

2025 Personal Property Statement 

(As of 12-31 -24) 

Location(s) of Personal Property Reported on This Statement. 

FROM: (Nam& and Address of Assessor) 

LIST ALL LOCATIONS. Attach additional sheets if necessary. 

Waterford Twp. 

Assessor's Office 

aril 

= 

Date of Organization 

[Date Business Began at 

Square Feet 

5200 Civic Center Drive 

above location 

Occupied 

Waterford, MI 48329 

SHAS 

Em 

Assumed Names Used by Legal Entity, if any 

IP OF WATERFORD 

Names of Owner(s) or Partners 

TO: (Name and Address of Taxpayer) 

< 

(If sole proprietorship or partnership) 

DUNKIN DONUTS 

FEB 07 205 

4399 HIGHLAND ROAD 

If Sole Proprietorship, Taxpayer's Residential Address 

WATERFORD, MI 48329 

Legal Name of Taxpayer 

Le 

WATERFORD DONUTS INC. 

Preparer's Name, Address and Telephone Number and E-mail address 

| Check One Only: 

Address Where Personal Property Records are Kept 

HOLLANDER, ELLISON & ASSOCIATES., P.C. 

O Sole Proprietorship 

6960 ORCHARD LAKE ROAD, WEST BLOOMFIELD, MI 4 

6960 ORCHARD LAKE RD., SUITE 235 

[| Partnership 

Name of Person in Charge of Records | Taxpayer Telephone No. 

WEST BLOOMFIELD, MI 48322 

Phone: (248)626-1000 

[| Limited Liability Co. 

TERRY ELLISON CPA 

(248)417-2529 

Corporation 

Description of Taxpayer's Business Activity and NAICS Code 

Mi ID# 

COFFEE AND DONUTS RETAIL 

NOTICE: DO NOT USE THIS FORM TO CLAIM AN EXEMPTION OF ELIGIBLE MANUFACTURING PERSONAL PROPERTY (EMPP) PURSUANT TO MCL 211.9m AND 

MCL 211.9n. To claim an exemption for EMPP, file Form 5278 with the local assessor where the personal property is located no later than February 20, 2025. 

Leasing companies are not eligible to file Form 5278 and must complete this form. Pursuant to MCL 211.90, if the true cash value of the assessable 

personal property you or a related party own, lease or possess in this local assessing unit is less than $80,000, then you do not need to file this form if the 

property is classified as commercial or industrial personal property and you timely claim the exemption. Instead, file Form 5076 with the local unit 

where the property is located no later than February 20, 2025. See the instructions on Page 6. 

SUMMARY AND CERTIFICATION. 

Complete ALL questions. 

If Yes, state total original cost 

Have you excluded any exempt "Special Tools" from this statement? 

................cco...... 

[1 Yes 

NO oven. excluded 

2. 

Have you excluded any air and water pollution control facilities and/or wind or water 

- 

a 

| 

energy conversion devices for which an exemption certificate has been issued? 

— 

...... [Jes 

No ones. 

If Yes, attach itemized list. 

3. 

Have you, to the best of your knowledge, reported all of your assessable tangible 

personal property located in Michigan including fully depreciated and/or expensed 

assets, to the appropriate assessment jurisdiction? ...........cccccoeereereiereenrenissneeee. 

1X] Yes 

| [NO 

If No, attach explanation. 

4. 

Did you hold a legal or equitable interest in personal property assessable in this 

jurisdiction which you have not reported on this statement (see instructions)? 

.......... | [Yes [X|NoO 

....... 

If Yes, attach itemized list. 

5. 

Are you a party (as either a landlord or a tenant) to a rental or lease agreement relating 

to real property in this jurisdiction? 

................. 

. 

If Yes, complete Section O. 

6. 

Have any of your assets been subjected to "rebooking" of costs for accounting 

purposes or been purchased used (see instructions)? 

...........ccccooeeiiiniccniecicc 

ma 

If Yes, attach itemized list. 

7. 

ls any of your property "daily rental property," per P.A. 537 of 1998? 

.......ccccccceceeeeee. [| Yes [X] No 

......... 

If yes, attach Form 3595. 

8. 

Are other businesses operated at your location(s)? 

.........cccccoceceivieniccciiieicccieeeee. 

|| Yes 

[|X| NO 

If Yes, attach itemized list. 

Enter zero if appropriate. 

Assessor Calculations 

9; 

‘Grand totalifrom pages? sus cman 

9a. 

250,627 

9b. 

10./Grand total fiom Page’3 susnsssmsmmmsssmimssssissssensassismsveressasssssssmesssse 

10a. 

0 

10b. 

11. Grand total from pages 4-5 

11a. 

107,760 

11b. 

12. Total cost of Idle Equipment from Form 2698 

12a. 

12b. 

13. Total cost of Personal Property Construction in Progress 

.......................... 

13a. 

X.50 

13b. 

14. Total Cost of Cable TV, Utility, Wind and Solar Energy Assets 

14a. 

14b. 

from Forms 633, 3589, 4565, and 5762 

15. Total cost of cellular site equipment from Form(s) 4452 

. 

. 

|15a. 

15b. 

TOTAL ....... 

358,387 

The undersigned certifies that he/she is an owner, officer and/or the duly authorized 

ASSESSOR'S ADJUSTMENT(S) 

 ------- 

agent for the above named taxpayer and that the above summary, with its supporting 

EXEMPTION(S) 

documents, provides a full and true statement of all tangible personal property 

owned or held by the taxpayer at the locations listed above on December 31, 2024. 

TRUE CASH VALUE 

Signature of 

ASSESSED VALUE (50% of TCV) 

....... 

0313 

\ 

of ye 

Z 4-25

Page 3

632, Page 2 

Assessor's Copy 

INSTRUCTIONS. Read carefully to obtain directions for the allocation of your personal property to Sections A - N. 

All Tangible Personal Property in your possession at this location, including fully depreciated and expensed assets, must be reported in one of the 

Sections A through N. If you had "Move-Ins" of used property, you must also complete Form 3966, 2025 Taxpayer Report of Personal Property 

“Move-Ins" Occurring During 2024. "Move-Ins" are items of assessable personal property (hereafter referred to as “property”) that were not assessed in 

this city or township in 2024, including (1) purchases of used property, (2) used property you moved in from a location outside this city or township, (3) 

property that was exempt in 2024 (such as exempt Industrial Facilities Tax property), and (4) property that you mistakenly omitted from your statement in 

2024. "Move-Ins" DO NOT include property that has been moved from another location WITHIN this city or township or that was assessed to another 

taxpayer within this city or township in 2024 (i.e., property reported by a previous owner or previously leased property reported by the lessor in 2024). All 

"Move-Ins" must be reported on this page 2 and on Form 3966. Do not report 2024 acquisitions of new property on Form 3966. 

Did you have "move-ins"? 

[J Yes 

No 

SECTION A: 

Assessor 

[SECTION D:Including Office, Electronic, 

Assessor 

Including Furniture and Fixtures 

Calculations 

Video and Testing Equipment 

Calculations 

2024 

91 

2024 

.84 

2023 

18,825| 

.80 

2023 

64 

2022 

.69 

2022 

.55 

2021 

61 

2021 

49 

2020 

.53 

2020 

44 

2019 

47 

2019 

41 

2018 

42 

2018 

38 

2017 

37 

2017 

.35 

2016 

.33 

2016 

33 

2015 

.29 

2015 

31 

2014 

27 

2014 

.29 

2013 

24 

2013 

28 

2012 

22 

2012 

.26 

2011 

19 

2011 

25 

2010 

12 

2010 

7 

Prior 

12 

Prior 

17 

[TOTALS | A1 

18,825 

A2 

[TOTALS | D1 

D2 

Including Machinery and Equipment 

Ce 

SECTION E: Including Consumer 

Assessor 

2024 

89 

Coin Operated Equipment 

Calculations 

2023 

78.188 | 76 

2024 

92 

2022 

80,104 | .67 

2023 

85 

2021 

37.821] 

60 

2022 

7 

2020 

54 

2021 

69 

2019 

49 

2020 

.61 

2018 

45 

2019 

54 

2017 

2 

2018 

46 

2016 

23,093 | 38 

2017 

38 

2015 

En 

2016 

.30 

2014 

33 

2015 

23 

2013 

31 

2014 

15 

2012 

29 

Prior 

15 

2011 

28 

[TOTALS | E1 

E2 

2010 

.23 

- 

Prior 

.23 

Deion Qamputer Equipment 

chsessar 

[TOTALS | B1 

219,206 

B2 

2024 

.60 

SECTION C: 

Assessor 

2023 

12,596] 

.44 

Including Rental Videotapes and Games 

Calculations 

2022 

32 

2024 

76 

2021 

24 

2023 

53 

2020 

19 

2022 

29 

2019 

15 

2021 

.05 

2018 

08 

Prior 

.05 

Prior 

.08 

TOTALS | C1 

C2 

TOTALS | F1 

12,596 

F2 

COST GRAND TOTAL (for page 2) 

TRUE CASH VALUE GRAND TOTAL 

(for page 2) 

TAXPAYER: 

Add totals from cost columns 

ASSESSOR: Add True Cash Value totals 

of Sections A-F (A1-F1). Enter grand total 

from Sections A-F (A2-F2). Enter grand 

here and carry to line 9a, page 1. 

$ 

250,627 

total here and carry to line 9b, page 1. 

$ 

0313

Page 4

632, Page 3 

Parcel No. 

99-12-000-340 

SECTION G - Other Assessable Personal Property Which You Own 

Assessable Tangible Personal Property in your possession that is not entitled to depreciation under Generally Accepted Accounting 

Principals (GAAP) (e.g.fine art) or that the assessor has told you to report in this Section or that is otherwise described in the 

instructions should 

be reported under this section. Any Personal Property reported in this Section should NOT be reported elsewhere on 

Form L-4175. See instructions. Attach additional sheets, if necessary. 

Assessor's Copy 

L-4175 

Description of Property 

Acquisition 

~~ [ Acquisition} 

True Cash Value 

Cost New 

ear 

| Ass 

2 

i 

Total Acquisition Cost New 

G1 

G2 

SECTION H - Standard Tooling 

You must report your standard tooling in this Section. Complete both 

Acquisition 

Acquisition 

Net CAP le 

columns. Notice that GAAP net book value, as reported in this Section, 

2004 

os 

Hew 

must implement accounting "changes in estimate", even if not otherwise 

material. Any Personal Property reported in this Section should NOT be 

2023 

reported elsewhere on Form 632 (L-4175). See Instructions. 

2022 

Prior 

Total Acquisition Cost 

H1 

H2 

SECTION 

| - Qualified Personal Property 

INCLUDE ONLY "Qualified Personal Property" as defined by Michigan Compiled Laws 211.8a(6)(c). See instructions. If necessary, 

attach extra schedules using the same format indicated below. Any Personal Property reported in this Section should NOT be reported 

elsewhere on Form 632 (L-4175). 

Owner Name and 

Description of Equipment 

an 

Complete Mailing Address 

and Model or Serial Number 

Original Cost 

Installed 

Date of 

Installation 

Lease Term 

in Months 

Year of 

Total Average 

Manufacture 

Monthly Rental 

0 

| Tov pg Sompie=d 

B 

Total Installed Cost 

| |4 

SECTION J - Leased Property in Your Possession Which is not Qualified Personal Property 

Property you are leasing from another person or entity should be reported under this section. "Qualified" Personal Property should be 

reported under Section 

|. See instructions. Attach additional sheets if necessary. Any Personal Property reported in this section should 

NOT be reported elsewhere on Form 632 (L-4175). 

SECTION K - Other Personal Property in Your Possession Which You Do Not Own 

Property not owned by you but in your possession on December 31, 2024 under arrangements other than a lease agreement should be 

be reported under this section. See instructions. Any Personal Property reported in this section should NOT be reported elsewhere on 

Form 632 (L-4175). Attach additional sheets if necessary. 

iti 

i 

Lease Term| 

Month 

1st Year 

Selling Price New 

Lease No. 

Name & Address of Lessor 

Description of Equipment 

(in Months) 

Rental 

in Service| 

(estimate, f necessary) 

Total Selling Price New 

 |J1 

Name & Address of Owner 

Description of Equipment 

Age (estimate if 

necessary) 

Selling Price New 

(estimate, if necessary) 

COST GRAND TOTAL (for page 3) 

TAXPAYER: Add Total 

costs and 

Selling 

Prices from Sections G - K 

Total Selling Price New 

K1 

TRUE CASH VALUE GRAND TOTAL (for page 3) 

ASSESSOR: 

(G1-K1). Enter grand total here and 

carry to line 10a, page 1. 

0313 

Add True Cash Value totals 

from Sections G-I (G2-12). Enter grand 

total here and carry to line 10b, page 1.

Page 5

632, Page 4 

Assessor's Copy 

SECTION L - Detail of Leases (This Section is Completed by Leasing Companies) 

Equipment that you lease to others should be reported under this Section. Note: 

You must also complete Sections A -F on Page 2. See instructions. 

You may use attachments in lieu of completing this Section only if the attachments use the same format and contain all the information as indicated 

below, and the Tables on Page 2 are completed. 

If you are leasing Eligible Manufacturing Personal Property (EMPP) to another company, 

you must report it in this section unless an election has been made, using Form 5467, that it be reported on the lessee’s Form 5278. 

See the detailed notice at the beginning of the Instructions, at the top of the first column, Page 6. Attach additional sheets, 

if necessary. 

Are you a manufacturer of equipment? 

Od Yes 

Od No 

Location of 

Type of 

Lease 

Month 

1st Year 

Manufacturer, 

Original 

Lease No. 

Name & Address of Lessee 

Equipment 

Equipment 

Period (mo.) 

Rental 

in Service 

"ost 

Selling Price 

Total Original Selling Price 

SECTION M - Leasehold Improvements 

All Leasehold Improvements (LHI) made at your place of business should be reported under this Section, even if you believe that the improvements are 

not subject to assessment as Personal Property. Report trade fixtures, foundation costs and equipment installation costs, including wiring and utility 

connections, in the appropriate Section A through F, on Page 2, not as LHI. See instructions. To prevent a duplicate assessment, provide as much 

detail as possible. You may attach additional explanations and/or copies of "fixed asset" records, 

if the attachment provides all of the information 

requested below and if you insert the total original cost in "Total Cost Incurred" below. Personal Property reported here should 

NOT be reported 

elsewhere on Form 632 (L-4175). Assessor: Do NOT assess 2016 or later installations as personal property except where the lease is pre-1984. 

NOTICE: 

The State Tax Commission has directed that all leasehold improvement installations in 2016 or later must be valued as improvements to 

the leased real property. Report all 2016-2024 leasehold improvements in the section immediately below. 

i. 

Lo 

. 

Lo 

STC 

True Cash Value 

Year Installed 

Description (Describe in detail) 

Original Cost 

Multiplier 

Assessor's Calculation 

2024 

2023 

2022 

2021 

2020 

2019 

2018 

2017 

2016 

Prior 

See Attached Document 

SECTION N 

- Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards 

Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of 

Freestanding Signs and Billboards must also be reported under this Section. Any Personal Property reported in this section should NOT 

be reported elsewhere on Form 632 (L-4175). Attach additional sheets, if necessary. 

O Check this box if you believe that these structures are already assessed as part of the real property. 

: 

Fo 

Year Originally 

Total Capitalized 

True Cash Value, 

* 

Address or Location of Building 

Bon 

Cost 

Assessor's Calculation 

Total Capitalized Cost | 

N1 

N2 

0313

Page 6

632, Page 5 

Assessor's Copy 

SECTION O - Rental Information. 

See Instructions. (Attach additional sheets, if necessary) 

IF YOU ARE THE TENANT 

Name and address of landlord 

Is your landlord the owner of the property? 

[I] Yes 

] No 

If you are a sublessee, enter the name and 

address 

of 

the owner 

of the property 

IF YOU ARE THE LANDLORD 

Name and address of Tenant 

Are you the owner of the property? 

[I] Yes 

[I] No 

If 

youare 

a sublessor, enter the name and address 

of the owner of 

the property 

TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT 

Address of property rented or leased 

Date that current rental arrangement began: 

. 

Square feet occupied: 

Monthly rental $ 

Date current lease expires: 

. 

Are there options to renew the lease? 

[I Yes 

No 

Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant 

Assessor Value 

02 

COST GRAND TOTAL (for page 4) 

TAXPAYER: Add Total Cost Incurred from 

TRUE CASH VALUE GRAND TOTAL (for page 4) 

Section M and Total 

Capitalized Cost from 

ASSESSOR:Add True 

Cash Value totals 

Section N (M1 and N1). Enter grand total 

$ 

107.760 

from Sections M-O (M2-O2). Enter grand 

here and carry to line 11a, page 1. 

! 

total here and carry to line 11b, page 1. 

$ 

* NOTE TO ASSESSOR: 

Certain buildings and structures on leased land (but not including freestanding signs and billboards) must be assessed on the 

real property roll. See Bulletin 

1 of 2003. 

0313

Page 7

Section M - Leasehold Improvements 

Assessor's Copy 

0313 

Lo 

STC 

I 

Year Installed 

Description (Describe in detail) 

Original Cost 

Multiplier 

Aseoscors Calculation 

2015 

[ VARIOUS IMPROVEMENT 

107,760) 

107,760 

Total Cost Incurred 

| M-1 

M-2

Page 8

Michigan Department of Treasury 

Parcel Number 

5076 (Rev. 09-24) 

99-12-000-340 

Small Business Property Tax Exemption Claim Under MCL 211.90 

This form is to be filed with the local unit (City or Township) where the personal property is located. 

Please contact the local unit where 

the personal property is located for their mailing address. This form 

IS NOT 

to be mailed to the Michigan Department of Treasury or 

Michigan State Tax Commission. This form 

must be filed no later than February 20, 2025 (postmark is acceptable). Late filed forms 

may be filed directly with the 2025 March Board of Review prior to the closure of the March Board. 

This form must be filled out in it's entirety. Failure to fill out the form completely can be cause for denial of the exemption. Taxpayers should 

pay particular attention to including contact information, including phone number and email address. 

General Information 

Business Name 

WATERFORD DONUTS INC. 

Name and Mailing Address of Owner(s) or Partners (if sole proprietorship or partnership) - attach a separate sheet if necessary 

RANDY AYYAR 

FEB 07 2025 

4399 HIGHLAND ROAD 

I 

WATERFORD, MI 48329 

rd 

VED 

Name of Local Unit of Government 

County Where the Property is Located 

City: 

Township: 

Waterford Twp. 

Village: 

Oakland 

Parcel Number 

Assumed Name(s) Used by Legal Entity (if any) 

Owner Telephone Number 

99-12-000-340 

(248) 417-2529 

Date Business Began in Local Tax Collecting Unit 

Description of Owner's Business Activity 

5/11/2011 

COFFEE AND DONUTS RETAIL 

Name, Telephone Number and Email Address of the Person in Charge of Personal Property Records 

Address where Personal Property Records are Kept 

TERRY ELLISON CPA 

(248) 626-1000 

6960 ORCHARD LAKE ROAD, WEST 

BLOOMFIELD, MI 48322 

Names of all other businesses having personal property, including any leasehold improvements assessed as personal property at the location(s) included in this form. 

(Attach additional sheets as necessary.) 

N/A 

List all addresses where any personal property owned by leased to or in the possession of the owner listed above or a related entity is located within the local tax collecting 

unit. (Attach additional sheets as necessary.) 

Value of Personal Property 

] 

The True Cash Value of all Personal Property, as defined by MCL 211.90, located within the local tax 

collecting unit indicated above, that is owned by, leased to, or in the possession of the owner or related 

entity, was less than $80,000 on December 31, 2024. (Enter value at right.) 

Value of Personal Property 

The True Cash Value of all Personal Property, as defined by MCL 211.90, located within the local tax 

collecting unit indicated above, that is owned by, leased to, or in the possession of the owner or related 

entity, was equal to or greater than $80,000 and less than $180,000 on December 31, 2024. (If checked, 

165,163 

attach a copy of Form 632, “2025 Personal Property Statement,” to this form. Enter value at right.) 

Value of Personal Property 

The undersigned certifies that: 

1. Iam the owner of the commercial personal property and/or industrial personal property being claimed as exempt or 

| am the duly authorized agent. 

2. The following procedures were used to determine that the True Cash Value of the Eligible Personal Property on December 31, 2024: 

a) 

The determination of True Cash Value was based on the State Tax Commission's recommended valuation procedures as set forth on Form 632 (L-4175), “Personal 

Property Statement.” 

b) 

The determination of True Cash Value includes all assessable personal property, located within the city or township listed on this form that is owned by, leased to, or 

in the possession of the owner or related entity. This shall include all trade fixtures and may include leasehold improvements not assessed as real property. Attach an 

explanation if not all personal property is included. 

3. lunderstand that according to MCL 211.90, 

| am required to maintain and provide access to books and records for audit purposes as provided in section 22. 

4. 

All of the information contained within Form 5076 is true and accurate and to the best of my knowledge and belief, and 

| acknowledge a fraudulent claim for exemption under 

MCL 211.90 is subject to the penalties as provided for in section 21(2). 

Printed Name 

~ 

~ 

7] Title, 

7 

RANDY AYYAR 

1 =n CU shrésident 

Signature 

[I= 

LOCAL UNIT USE ONLY 

4%) Ww 5) 

Date Received 

0313 

Wn me 47

Page 9

‘Michigan Department of Treasury 

P 

I N 

5076 (Rev. 07-25) 

arcel 

Number G6.12-000:340 

2026 

Small Business Property Tax Exemption Claim Under MCL 211.90 

This form is to be filed with the local unit (City or Township) where the personal property is located. 

Please contact the local unit where 

the personal property is located for their mailing address. This form 

IS NOT 

to be mailed to the Michigan Department of Treasury or 

Michigan State Tax Commission. This form 

must be filed no later than February 20, 2026 (postmark is acceptable). Late filed forms 

may be filed directly with the 2026 March Board of Review prior to the closure of the March Board. 

This form must be iilled out in it's entirety. Failure to fill out the form completely can be cause for denial of the exemption. Taxpayers should 

pay particular attention to including contact information, including phone number and email address. 

General Information 

WAT =~ 

Business Name 

” =AFORp Tow, 

WATERFORD DONUTS INC. 

Cr D 

Name and Mailing Address of Owner(s) or Partners (if sole proprietorship or partnership) - attach a separate sheet if necessary” 0 

[Nj 202 

RANDY AYYAR 

4399 HIGHLAND ROAD 

ECE IVE D 

F| 

WATERFORD, MI 48329 

We 

Name of Local Unit of Government 

County Where the Property is Located 

City: 

Township: 

Waterford Twp. 

Village: 

Oakland 

Parcel Number 

Assumed Name(s) Used by Legal Entity (if any) 

Owner Telephone Number 

99-12-000-340 

(248) 417-2529 

Date Business Began in Local Tax Collecting Unit 

Description of Owner's Business Activity 

5/11/2011 

COFFEE AND DONUTS RETAIL 

Name, Telephone Number and Email Address of the Person in Charge of Personal Property Records 

Address where Personal Property Records are Kept 

TERRY ELLISON CPA 

(248) 626-1000 

6960 ORCHARD LAKE ROAD, WEST 

BLOOMFIELD, MI 48322 

Names of all other businesses having personal property, including any leasehold improvements assessed as personal property at the location(s) included in this form. 

(Attach additional sheets as necessary.) 

N/A 

List all addresses where any personal property owned by leased to or in the possession of the owner listed above or a related entity is located within the local tax collecting 

unit. (Attach additional sheets as necessary.) 

Value of Personal Property 

] The True Cash Value of all Personal Property, as defined by MCL 211.90, located within the local tax 

collecting unit indicated above, that is owned by, leased to, or in the possession of the owner or related 

entity, was less than $80,000 on December 31, 2025. (Enter value at right.) 

Value of Personal Property 

[x] The True Cash Value of all Personal Property, as defined by MCL 211.90, located within the local tax 

Value of Personal Property 

collecting unit indicated above, that is owned by, leased to, or in the possession of the owner or related 

entity, was equal to or greater than $80,000 and less than $180,000 on December 31, 2025. (If checked, 

177,703 

attach a copy of Form 632, “2026 Personal Property Statement,” to this form. Enter value at right.) 

The undersigned certifies that: 

1. 1am the owner of the commercial personal property and/or industrial personal property being claimed as exempt or | am the duly authorized agent. 

2. The following procedures were used to determine that the True Cash Value of the Eligible Personal Property on December 31, 2025: 

a) 

The determination of True Cash Value was based on the State Tax Commission's recommended valuation procedures as set forth on Form 632 (L-4175), “Personal 

Property Statement.” 

b) 

The determination of True Cash Value includes all assessable personal property, located within the city or township listed on this form that is owned by, leased to, or 

in the possession of the owner or related entity. This shall include all trade fixtures and may include leasehold improvements not assessed as real property. Attach an 

explanation if not all personal property is included. 

3. 

| understand that according to MCL 211.90, 

| am required to maintain and provide access to books and records for audit purposes as provided in section 22. 

4. 

All of the information contained within Form 5076 is true and accurate and to the best of my knowledge and belief, and 

| acknowledge a fraudulent claim for exemption under 

MCL 211.90 is subject to the penalties as provided for in section 21(2). 

Printed Name 

Title 

RANDY AYYAR 

President 

2 

Signature 

4 

— 

0313 

LOCAL 

UNIT USE ONLY 

Date Received

Page 10

Lo 

Assessor's Coj 

Michigan Department of Treasury 

This form must be completed 

PY 

632 (Rev. 07-25) 

) 

Parcel No. 

and returned to the assessor b: 

Issued under authority 

of Public Act 206 of 1893. 

-12-000- 

Approved by the State Tax Commission August 19, 2025. 

99-12-000-340 

February rar 

2026 Personal Property Statement 

(As of 12-31 -25) 

Location(s) of Personal Property Reported on This Statement. 

FROM: (Name and Address of Assessor) 

LIST ALL LOCATIONS. Attach additional sheets if necessary. 

Waterford Twp. 

WATE, 

Assessor's Office 

RF ORD Towng 

Tr 

: 

Date of Organization 

[Date Business Began at 

Square Feet 

5200 Civic Center Drive 

FER 

10 

Hip 

above location 

Occupied 

Waterford, MI 48329 

22 

5/11/11 

5/11/11 

E 

Assumed Names Used by Legal Entity, if any 

ASSESS om, I VE D 

S OFFg; 

Names of Owner(s) or Partners 

TO: (Name and Address of Taxpayer) 

5 

(If sole proprietorship or partnership) 

DUNKIN DONUTS 

4399 HIGHLAND ROAD 

If Sole Proprietorship, Taxpayer's Residential Address 

WATERFORD, MI 48329 

Legal Name of Taxpayer 

WATERFORD DONUTS INC. 

Preparer's Name, Address and Telephone Number and E-mail address 

| Check One Only: 

Address Where Personal Property Records are Kept 

HOLLANDER, ELLISON & ASSOCIATES., P.C. 

O Sole Proprietorship 

6960 ORCHARD LAKE ROAD, WEST BLOOMFIELD, MI « 

6960 ORCHARD LAKE RD., SUITE 235 

™ Partnership 

Name of Person in Charge of Records | Taxpayer Telephone No. 

WEST BLOOMFIELD, MI 48322 

Phone: (248)626-1000 

[] imited Liability Co. 

~~ | TERRY ELLISON CPA 

(248)417-2529 

x] Corporation 

Description of Taxpayer's Business Activity and NAICS Code 

Mi ID# 

COFFEE AND DONUTS RETAIL 

NOTICE: DO NOT USE THIS FORM TO CLAIM AN EXEMPTION OF ELIGIBLE MANUFACTURING PERSONAL PROPERTY (EMPP) PURSUANT TO MCL 211.9m AND 

MCL 211.9n. To claim an exemption for EMPP, file Form 5278 with the local assessor where the personal property is located no later than February 20, 2026. 

Leasing companies are not eligible to file Form 5278 and must complete this form. Pursuant to MCL 211.90, if the true cash value of the assessable 

personal property you or a related party own, lease or possess in this local assessing unit is less than $80,000, then you do not need to file this form if the 

property is classified as commercial or industrial personal property and you timely claim the exemption. Instead, file Form 5076 with the local unit 

where the property is located no later than February 20, 2026. See the instructions on Page 6. 

SUMMARY AND CERTIFICATION. 

Complete ALL questions. 

If Yes, state total original cost 

1. 

Have you excluded any exempt "Special Tools" from this statement? ...........ccee. |_| Yes [X[ No oo. excluded 

2. 

Have you excluded any air and water pollution control facilities and/or wind or water 

_ 

. 

energy conversion devices for which an exemption certificate has been issued? — ...... 

[dyes 

XINo oo 

If Yes, attach itemized list. 

3. 

Have you, to the best of your knowledge, reported all of your assessable tangible 

personal property located in Michigan including fully depreciated and/or expensed 

assets, to the appropriate assessment jurisdiction? 

....ccocovrieinicinicisiece. 

[A] YES | 

| 

NO 

If No, attach explanation. 

4. 

Did you hold a legal or equitable interest in personal property assessable in this 

jurisdiction which you have not reported on this statement (see instructions)? 

™ Yes 

If Yes, attach itemized list. 

5. 

Are you a party (as either a landlord or a tenant) to a rental or lease agreement relating 

to real property in this JUrisAiCtioN? .........c.coiiiiiiiii (] Yes 

If Yes, complete Section O. 

6. 

Have any of your assets been subjected to "rebooking" of costs for accounting 

purposes or been purchased used (see instructions)? ccc 

[| Yes 

If Yes, attach itemized list. 

7. 

Is any of your property "daily rental property,” per P.A. 537 of 19987 

 .........cccoovviii ™ Yes 

If yes, attach Form 3595. 

8. 

Are other businesses operated at your 10Cation(S)? 

 ........ccoermiiiiieiii | Yes 

If Yes, attach itemized list. 

Enter zero if appropriate. 

Assessor Calculations 

9. 

Grand total from page 2 

. 

9a. 

278,268 

9b. 

10. Grand total from page 3 

. 

10a. 

0 

10b. 

11. Grand total from pages 4-5 

11a. 

0 

11b. 

12. Total cost of Idle Equipment from Form 2698..........coooviiiniiniins 

12a. 

12b. 

13. Total cost of Personal Property Construction in Progress 

...............ccc.c... 

13a. 

X.50 

13b. 

14. Total Cost of Cable TV, Utility, Wind and Solar Energy Assets 

14a. 

14b. 

from Forms 633, 3589, 4565, and 5762 

.. 

15. Total cost of cellular site equipment from Form(s) 4452 

15a. 

15b. 

TOTAL 

278,268 

The undersigned certifies that he/she is an owner, officer and/or the duly authorized 

ASSESSOR'S ADJUSTMENT(S) 

agent for the above named taxpayer and that the above summary, with its supporting 

EXEMPTION(S) 

documents, provides a full and true statement of all tangible personal property 

owned or held by 

the taxpayer 

e locations listed above on December 31, 2025. 

TRUE CASH VALUE 

Signature of Certifier 

Date 

ASSESSED VALUE (50% of TCV) 

2-9-2256 

0313

Page 11

632, Page 2 

Assessor's Copy 

INSTRUCTIONS. Read carefully to obtain directions for the allocation of your personal property to Sections A - N. 

All Tangible Personal Property in your possession at this location, including fully depreciated and expensed assets, must be reported in one of the 

Sections 

A through N. If you had "Move-Ins" of used property, you must also complete Form 3966, 2026 Taxpayer Report of Personal Property 

“Move-Ins” Occurring During 2025. "Move-Ins" are items of assessable personal property (hereafter referred to as "property") that were not assessed in 

this city or township in 2025, including (1) purchases of used property, (2) used property you moved in from a location outside this city or township, (3) 

property that was exempt in 2025 (such as exempt Industrial Facilities Tax property), and (4) property that you mistakenly omitted from your statement in 

2025. "Move-Ins" DO NOT include property that has been moved from another location WITHIN this city or township or that was assessed to another 

taxpayer within this city or township in 2025 (i.e., property reported by a previous owner or previously leased property reported by the lessor in 2025). All 

"Move-Ins" must be reported on this page 2 and on Form 3966. Do not report 2025 acquisitions of new property on Form 3966. 

Did you have "move-ins"? 

[J Yes 

No 

SECTION A: 

Assessor 

[SECTION D:Including Office, Electronic, 

Assessor 

Including Furniture and Fixtures 

Calculations 

Video and Testing Equipment 

Calculations 

2025 

91 

2025 

.84 

2024 

.80 

2024 

.64 

2023 

18,825] 

.69 

2023 

55 

2022 

61 

2022 

49 

2021 

.53 

2021 

44 

2020 

47 

2020 

41 

2019 

42 

2019 

.38 

2018 

37 

2018 

.35 

2017 

33 

2017 

33 

2016 

29 

2016 

31 

2015 

27 

2015 

29 

2014 

24 

2014 

.28 

2013 

22 

2013 

26 

2012 

19 

2012 

25 

2011 

12 

2011 

17 

Prior 

12 

Prior 

17 

TOTALS | At 

18,825 

A2 

TOTALS | D1 

D2 

SECTION B: 

Assessor 

- 

Including Machinery and Equipment 

Calculations 

SECTION E: Including Consumer 

Assessor 

2025 

89 

Coin Operated Equipment 

Calculations 

2024 

64,673 | 76 

2025 

92 

2023 

64,249 | 67 

2024 

85 

2022 

80.104 | 60 

2023 

77 

2021 

37.821 | 54 

2022 

69 

2020 

49 

2021 

61 

2019 

45 

2020 

54 

2018 

42 

2019 

46 

2017 

38 

2018 

.38 

2016 

36 

2017 

.30 

2015 

33 

2016 

.23 

2014 

31 

2018 

15 

2013 

29 

Prior 

15 

2012 

28 

TOTALS | E1 

E2 

2011 

23 

SECTION F: 

Assessor 

Prior 

23 

Including Computer Equipment 

Calculations 

TOTALS | B1 

246,847 

B2 

2025 

.60 

SECTION C: 

Assessor 

2024 

44 

Including Rental Videotapes and Games 

Calculations 

2023 

12,596] 

.32 

2025 

76 

2022 

24 

2024 

53 

2021 

19 

2023 

29 

2020 

15 

2022 

.05 

2019 

08 

Prior 

05 

Prior 

.08 

TOTALS | C1 

C2 

[TOTALS | F1 

12,596 

F2 

COST GRAND TOTAL (for page 2) 

TRUE CASH VALUE GRAND TOTAL 

(for page 2) 

TAXPAYER: 

Add totals from cost columns 

ASSESSOR: Add True Cash Value totals 

of Sections A-F (A1-F1). Enter grand total 

from Sections A-F (A2-F2). Enter grand 

here and carry to line 9a, page 1. 

$ 

278,268 

total here and carry to line 9b, page 1. 

$ 

0313

Page 12

632, Page 3 

Parcel No. 

99-12-000-340 

SECTION G - Other Assessable Personal Property Which You Own 

Assessable Tangible Personal Property in your possession that is not entitled to depreciation under Generally Accepted Accounting 

Principals (GAAP) (e.g.fine art) or that the assessor has told you to report in this Section or that is otherwise described in the 

instructions should 

be reported under this section. Any Personal Property reported in this Section should NOT be reported elsewhere on 

Form L-4175. See instructions. Attach additional sheets, if necessary. 

Assessor's Copy 

L-4175 

Description of Property 

Acquisition 

| Acquisitior§ 

True Cash Value 

Cost New 

ear 

Assessor's Calculation 

Total Acquisition Cost New 

G1 

G2 

SECTION H - Standard Tooling 

You must report your standard tooling in this Section. Complete both 

Acquisition 

Acquisition 

GAAP 

. 

. 

. 

. 

Year 

Cost New 

Net Book Value 

columns. Notice that GAAP net book value, as reported in this Section, 

2025 

must implement accounting "changes in estimate", even 

if not otherwise 

material. Any Personal Property reported in this Section should NOT be 

2024 

reported elsewhere on Form 632 (L-4175). See Instructions. 

2023 

Prior 

Total Acquisition Cost 

H1 

H2 

SECTION 

I 

- Qualified Personal Property 

INCLUDE ONLY "Qualified Personal Property" as defined by Michigan Compiled Laws 211.8a(6)(c). See instructions. If necessary, 

attach extra schedules using the same format indicated below. Any Personal Property reported in this Section should NOT be reported 

elsewhere on Form 632 (L-4175). 

Owner Name and 

Description of Equipment 

an 

Complete Mailing Address 

and Model or Serial Number 

Original Cost 

Installed 

Lease Term 

in Months 

Date of 

Installation 

Manufacture 

Year of 

Total Average 

Monthly Rental 

% 

3 

TCV 

to be Completed 

i Reseeshr 

Total Installed Cost 

1 

SECTION J 

- Leased Property in Your Possession Which is not Qualified Personal Property 

Property you are leasing from another person or entity should be reported under this section. "Qualified" Personal Property should be 

reported under Section 

|. See instructions. Attach additional sheets if necessary. Any Personal Property reported in this section should 

NOT be reported elsewhere on Form 632 (L-4175). 

Lease No. 

Name & Address of Lessor 

Description of Equipment 

Lease Term 

(in Months) 

1st Year 

Monthly 

in Service 

Rental 

Selling Price New 

(estimate, if necessary) 

Total Selling Price New 

SECTION K 

- Other Personal Property in Your Possession Which You Do Not Own 

Property not owned by you but in your possession on December 31, 2025 under arrangements other than a lease agreement should be 

be reported under this section. See instructions. Any Personal Property reported in this section should NOT be reported elsewhere on 

Form 632 (L-4175). Attach additional sheets if necessary. 

J1 

Name & Address of Owner 

Description of Equipment 

Age (estimate if 

necessary) 

Selling Price New 

(estimate, if necessary) 

COST GRAND TOTAL (for page 3) 

TAXPAYER: Add Total 

costs and 

Selling 

Prices from Sections G - K 

(G1-K1). Enter grand total here and 

carry to line 10a, page 1. 

0313 

Total Selling Price New 

K1 

TRUE CASH VALUE GRAND TOTAL (for page 3) 

ASSESSOR: Add True Cash Value totals 

from Sections G-I (G2-12). Enter grand 

total here and carry to line 10b, page 1.

Page 13

632, Page 4 

Assessor's Copy 

SECTION L 

- Detail of Leases (This Section is Completed by Leasing Companies) 

Equipment that you lease to others should be reported under this Section. Note: 

You must also complete Sections 

A -F on Page 2. See instructions. 

You may use attachments in lieu of completing this Section only if the attachments use the same format and contain all the information as indicated 

below, and the Tables on Page 2 are completed. 

If you are leasing Eligible Manufacturing Personal Property (EMPP) to another company, 

you must report it in this section unless an election has been made, using Form 5467, that it be reported on the lessee's Form 5278. 

See the detailed notice at the beginning of the Instructions, at the top of the first column, Page 6. Attach additional sheets, 

if necessary. 

Are you a manufacturer of equipment? 

O Yes 

O No 

Location of 

Type of 

Lease 

Monthly 

1st Year 

Manufacturer 

Original 

Equipment 

Equipment 

Period (mo.) 

Rental 

in Service 

Cost 

Selling Price 

Total Original Selling Price 

SECTION M 

- Leasehold Improvements 

All Leasehold Improvements (LHI) made at your place of business should be reported under this Section, even 

if you believe that the improvements are 

not subject to assessment as Personal Property. Report trade fixtures, foundation costs and equipment installation costs, including wiring and utility 

connections, in the appropriate Section 

A through 

F, on Page 2, not as LHI. See instructions. To prevent a duplicate assessment, provide as much 

detail as possible. You may attach additional explanations and/or copies of "fixed asset" records, 

if the attachment provides all of the information 

requested below and if you insert the total original cost in "Total Cost Incurred" below. Personal Property reported here should 

NOT be reported 

elsewhere on Form 632 (L-4175). Assessor: Do NOT assess 2016 or later installations as personal property except where the lease is pre-1984. 

Lease No. 

Name & Address of Lessee 

NOTICE: 

The State Tax Commission has directed that all leasehold improvement installations in 2016 or later must be valued as improvements to 

the leased real property. Report all 2016-2025 leasehold improvements in the section immediately below. 

Lo 

. 

LL 

STC 

True Cash Value 

Year Installed 

Description (Describe in detail) 

Original Cost 

Multiplier 

Assessor's Calculation 

2025 

2024 

2023 

2022 

2021 

2020 

2019 

2018 

2017 

2016 

Prior 

See Attached Document 

SECTION N 

- Buildings and Other Structures on Leased or Public Land and All Freestanding Signs and Billboards 

Costs of Freestanding Communications Towers and Equipment Buildings at Tower sites (unless reported on Form 4452), and Costs of 

Freestanding Signs and Billboards must also be reported under this Section. Any Personal Property reported in this section should NOT 

be reported elsewhere on Form 632 (L-4175). Attach additional sheets, 

if necessary. 

Od Check this box if you believe that these structures are already assessed as part of the real property. 

Year Originally 

Total Capitalized 

True Cash Value 

* 

ull 

Address or Location of Building 

Cost 

Assessor's Calculation 

N1 

N2 

Total Capitalized Cost 

0313

Page 14

632, Page 5 

Assessor's Copy 

SECTION O - Rental Information. 

See Instructions. (Attach additional sheets, if necessary) 

IF YOU ARE THE TENANT 

Name and address of landlord 

Is your landlord the owner of the property? 

[Il] Yes 

[I No 

If you are a sublessee, enter the name and 

address 

of 

the owner 

of the property 

IF YOU ARE THE LANDLORD 

Name and address of Tenant 

Are you the owner of the property? 

1 Yes 

[I] No 

If 

youare 

a sublessor, 

enter the name and address 

of the owner of 

the property 

TO BE COMPLETED REGARDLESS OF WHETHER YOU ARE THE LANDLORD OR TENANT 

Address of property rented or leased 

Date that current rental arrangement began: 

. 

Square feet occupied: 

Monthly rental $ 

Date current lease expires: 

. 

Are there options to renew the lease? 

Yes 

Il No 

Expenses (e.g. taxes, electric, gas, etc.) paid by the tenant 

Assessor Value 

02 

COST GRAND TOTAL (for page 4) 

TAXPAYER: Add Total Cost Incurred from 

TRUE CASH VALUE GRAND TOTAL (for page 4) 

Section M and Total 

Capitalized Cost from 

ASSESSOR:Add True 

Cash Value totals 

Section N (M1 and N1). Enter grand total 

$ 

from Sections M-O (M2-02). Enter grand 

here and carry to line 11a, page 1. 

total here and carry to line 11b, page 1. 

* NOTE TO ASSESSOR: 

Certain buildings and structures on leased land (but not including freestanding signs and billboards) must be assessed on the 

real property roll. See Bulletin 1 of 2003. 

0313

Page 15

Section M - Leasehold Improvements 

Assessor's Copy 

Year Installed 

Description (Describe in detail) 

Original Cost 

STC 

Multiplier 

True Cash Value 

Assessor's Calculation 

2015 

0313 

Total Cost Incurred 

M-1

Page 16

Assessor's Copy 

Section M: Leasehold Improvements — Real & Personal 

Year in Service 

Detailed Description 

Original Costs 

Personal/Real 

2015 

Personal 

Total 

0313

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