Michigan Department of Treasury, STC
2167 (Rev 02-09)
Formerly L-4100
Offi ce Use Only
Petition No.
Petition for Change of Property Classifi cation
Year
I
NSTRUCTIONS: Completion of this form and receipt by the State Tax Commission (STC) by June 30th of the current tax year is mandatory under Sec-
tion 211.34c and 211.150. Failure to complete this form may result in the rejection of the petition. This petition is limited to Property Classifi cation
disputes. Valuation or Exemption questions must be appealed to the Michigan Tax Tribunal only (MCL 205.735). Do not reproduce this petition
except for your records. Signature required.
Note: The information fi led in and with this petition will be the only information to be considered by the STC. In accordance with MCL 211.34c
which states: The STC shall arbitrate the petition based on the written petition and the written recommendations of the assessor and the STC
staff; no taxpayer will be afforded an opportunity to present their appeal in person.
A. Property Owner Information
If Represented by Attorney or Agent
Name
Name
Address
Address
City
State
City
State
Zip Code
Telephone Number
Zip Code
Telephone Number
B. The property owner or his/her authorized agent hereby fi les a petition for change of the following described property
classifi cation
County of
City or Township of
School District(s)
Village of
C. Complete Legal Description and Parcel Code Number
D. Property Address
Number and Street
between ______________________________________ Street and _____________________________________ Street
E. Date of protest and property classifi cation of the Local March Board of Review
Note: Provide a copy of the appeal to the Board of Review regarding the classifi cation. Failure to provide this documentation will result in
the dismissal of the application.
Date of protest
Property classifi cation as approved by the Board of Review
F. Current Year Property Classifi cation (as classifi ed by the assessor)
Agricultural Real (100)
Industrial Real (300)
Timber-Cutover Real (500)
Industrial Personal (350)
Agricultural Personal (150)
Utility Personal (550)
Residential Real (400)
Commercial Real (200)
Developmental Real (600)
Commercial Personal (250)
Residential Personal (450)
G. Requested Property Classifi cation from petitioner