Form 2704a - Application For Neighborhood Enterprise Zone Certificate Page 2
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42704A, Page 2
Part 3: LOCAL GOVERNMENT ACTION
LGU Clerk must complete this section before submitting to the State Tax Commission
Action taken by LGU:
The State Tax Commission requires the following documents be filed for
an administratively complete application:
Abatement Approved for _____ Years (6-15)
1. Original Application
Abatement Approved for _____ Years (11-17 historical credits)
2. Legal description of the real property with parcel code number
Denied (include Resolution Denying)
3. Resolution approving/denying application (include # of years)
4. REHABILITATION APPLICATIONS ONLY. Statement by the
assessor showing the taxable value of the rehabilitated facility not
including the land, for the tax year immediately preceding the
effective date of the rehabilitation.
LGU Name
Date of Resolution Approving/Denying this application
Part 4: LOCAL GOVERNMENT CERTIFICATION
LGU Clerk must complete this section before submitting to the State Tax Commission
I certify that I have reviewed this application for complete and accurate information and determined that the subject property is
located within a qualified Neighborhood Enterprise Zone.
I certify this application meets the requirements as outlined by Public Act 147 of 1992 and hereby request the State Tax Commission
issue a Neighborhood Enterprise Zone Certificate.
Print Clerk Name
Clerk Telephone Number
Clerk Fax Number
Clerk E-mail Address
Clerk's Mailing Address (Street, City, State, ZIP Code)
Clerk Signature
Date
LGU mail original completed application and required documents to:
State Tax Commission
Michigan Department of Treasury
P.O. Box 30471
Lansing, MI 48909-7971
Note: Additional documentation will be required for the issuance of the certificate of exemption. These documents should be sent
directly to the State of Michigan only after the original application is filed with the LGU clerk and approved by the LGU. See the
instruction sheet attached.
Any questions concerning the completion of this application should be directed to your LGU Clerk.
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