Form 3674 - Application For Obsolete Property Rehabilitation Exemption Certificate - 2003 Page 2

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Form 3674, Page 2

LOCAL GOVERNMENT ACTION

This section is to be completed by the clerk of the local governing unit before submitting the application to the State Tax Commission. Include a copy of

the resolution which approves the application.

PART 1: ACTION TAKEN

Action Date:____________________________________

Exemption Approved for __________ Years, ending December 31, __________ (not to exceed 12 years)

Disapproved

PART 2: RESOLUTIONS

A statement that the application is for obsolete property as defined in

A statement that the local unit is a Qualified Local Governmental Unit.

section 2(h) of Public Act 146 of 2000.

A statement that the Obsolete Property Rehabilitation District was

A statement that the commencement of the rehabilitation of the

legally established including the date established and the date of

facility did not occur before the establishment of the Obsolete

hearing as provided by section 3 of P.A. 146 of 2000.

Property Rehabilitation District.

A statement indicating whether the taxable value of the property

A statement that the application relates to a rehabilitation program

proposed to be exempt plus the aggregate taxable value of property

that when completed constitutes a rehabilitated facility within the

already exempt under P.A. 146 of 2000 and under P.A. 198 of 1974

meaning of P.A. 146 of 2000 and that is situated within an Obsolete

(IFT's) exceeds 5% of the total taxable value of the unit.

Property Rehabilitation District established in a Qualified Local

A statement of the factors, criteria and objectives, if any, necessary for

Governmental Unit eligible under P.A. 146 of 2000 to establish such

extending the exemption, when the certificate is for less than 12 years.

a district.

A statement that completion of the rehabilitated facility is calculated

A statement that the application was approved at a public hearing as

to, and will at the time of issuance of the certificate, have the

provided by section 4(2) of P.A. 146 of 2000 including the date of the

reasonable likelihood to, increase commercial activity, create

hearing.

employment, retain employment, prevent a loss of employment,

A statement that the applicant is not delinquent in any taxes related to

revitalize urban areas, or increase the number of residents in the

the facility.

community in which the facility is situated. The statement should

If it exceeds 5% (see above), a statement that exceeding 5% will not

indicate which of these the rehabilitation is likely to result in.

have the effect of substantially impeding the operating of the Qualified

A statement that the rehabilitation includes improvements

Local Governmental Unit or of impairing the financial soundness of an

aggregating 10% or more of the true cash value of the property at

affected taxing unit.

commencement of the rehabilitation as provided by section 2(l) of

A statement that all of the items described on line 9 of the

P.A. 146 of 2000.

Application for Obsolete Property Rehabilitation Exemption

A statement of the period of time authorized by the Qualified Local

Certificate have been provided to the Qualified Local Governmental

Governmental Unit for completion of the rehabilitation.

Unit by the applicant.

PART 3: ASSESSOR RECOMMENDATIONS

Current Taxable Value and State Equalized Value of obsolete properties

Taxable Value

State Equalized Value (SEV)

Land

Buildings

Buildings on Leased Land

Other Personal Property

Year of Values

Name of Local Government Body

Date of Action on application

CLERK CERTIFICATION

The undersigned clerk certifies that, to the best of his/her knowledge, no information contained herein or in the attachments hereto is false in any way.

Further, the undersigned is aware that if any information provided is untrue, the exemption provided by P.A. 146 of 2000 may be in jeopardy.

Clerk Signature

Date

Telephone Number

Clerk's Mailing Address

City & State

Zip Code

Mail completed Application and copy of Resolution to:

If you have any questions, call (517) 373-2408 or 373-3302.

State Tax Commission

Michigan Department of Treasury

P.O. Box 30471