Application For The Exemption Of Personal Property Form Page 2

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Please submit the following documents with your application:
Balance Sheet
Operating Statement
Source and Application of Funds
Sources of Financial Support in Order to Magnitude
Salaries of Officers
Federal and State Exemption Certificate
The above is, to the best of my knowledge and judgment, a true and correct
statement of the facts concerning the above-described property.
Signed ____________________________________ Title _________________
Address___________________________________
___________________________________
Email: ___________________________________
Phone Number: ____________________________
Subscribed and sworn to before me this _____day of ______________, 20___
My commission expires _______________________
_________________________________________________
Notary Public,
_______________ County
*After completing the application, print the application. Then have an authorized
representative signature notarized. Then submit the application with all
supporting documentation to the Assessing Department, City of Troy, 500 W. Big
Beaver, Troy, MI. 48084
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Recommendation: ________________________________________________
____________________________________
___________________
Assessor
Date

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