Form 3427 - Application For Exemption Of New Personal Property

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Michigan Department of Treasury

3427 (Rev. 5-06)

Application for Exemption of New Personal Property

Issued under P.A. 328 of 1998. An exemption will not be effective until approved by the State Tax Commission.

INSTRUCTIONS: Read instructions on page 2 of this form before completing this application. File the original and two copies of this

form and the required attachments (resolution approving, copy of legal description and a detailed description of the business

operations) with the clerk of the local government unit. The State Tax Commission requires two complete sets.

PART 1: APPLICANT INFORMATION

1a. Applicant/Company Name (Applicant must be an ELIGIBLE BUSINESS)

2. County

1b. Company Mailing Address (No. and Street, P.O. Box, City, State, ZIP Code)

3. City/Township/Village (indicate which)

1c. Location of Eligible Business (No. and Street, City, State, ZIP Code)

4a. Local School District

4b. School Code

5. Check below the type of business in which you are engaged and provide a detailed description of the business operation on a separate sheet

Manufacturing

Research & Development

Office Operations

Mining

Wholesale Trade

6a. Identify type of ELIGIBLE DISTRICT where Eligible

6b. Governing Unit that Established ELIGIBLE DISTRICT

6c. Date ELIGIBLE DISTRICT was Established

Business and New Personal Property will be located

7. Name of Person in the Eligible Business to Contact for Further Information

8. Telephone Number

9. Mailing Address

The undersigned, authorized officer of the company making this application certifies that, to the best of his/her knowledge, no information contained

herein or in the attachments hereto is false in any way and that all of the information is truly descriptive of the property for which application is being

made. The undersigned, authorized officer further certifies that the applicant is an Eligible Business as defined in P.A. 328 of 1998.

11. Name of Company Official

12. Title

13. Signature (No Authorized Agents)

14. Date

15. Mailing Address (include City, State and ZIP Code)

16. Email Address

17. Telephone Number

18. Fax Number

PART 2: LOCAL GOVERNMENT UNIT CLERK VERIFICATION

20. Date of Resolution (Attach Copy)

21. Expiration Date of Exemption