08._Tax_Appeal_Answer_Form_Non-Property.35f1efb9-23e7-428f-8acd-915425892ae7.pdf

Green Bronco LLC, Petitioner Vs. Michigan Department Of Treasury, Respondent · 25-003857-TT

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STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

TAX APPEAL ANSWER FORM

NON-PROPERTY TAX

MOAHR DOCKET NO. 25-003857

Section 1: Respondent’s Contact Information

Filer Type: Local Unit of Government

Michigan Department of Treasury (MDT)

Unit of Government

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

First Name

Julie

M.I.

Last Name

Jensen

Firm Name (if any)

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

P O Box 30828

City or Town

Lansing

State

Michigan

ZIP Code

48909

Telephone Number

517-335-7478

Fax Number

E-mail Address

jensenj@michigan.gov

Section 3: Explain Your Answer to this Appeal

See attachment to answer.

JH

Pursuant to Michigan Tax Tribunal Rule (TTR) 277(3), you MUST submit a copy of the notice giving rise to the appeal (e.g. notice of action taken by the 

Michigan Department of Treasury) with this Small Claims Answer, if applicable. If you do not submit this document, you may be held in default.

STATE OF MICHIGAN

GRETCHEN WHITMER

GOVERNOR

DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

LANSING

ORLENE HAWKS

DIRECTOR

Section 4: Assessment Information

Type of Tax Being Assessed:

Sales Tax 

Assessment Number(s):

assessment number not provided by Petitioner

Check what action prompted this appeal: (Check one)

Other

If “other,” explain:

assessment number not provided by Petitioner

List the amounts levied:

Tax See attached

Interest See attached.

Penalty See attached.

List your contentions: 

Tax See attached.

Interest See attached.

Penalty See attached.

What is the basis and statutory authority for the tax assessment:

Michigan Sales Tax Act MCL 205.51 et seq

Electronic Signature *Typing your name below will serve as your signature

Respondent or Attorney/Authorized Representative’s Signature: 

/s/ Julie Jensen

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