Form 4757 - Application For Commercial Facilities Exemption Certificate - Michigan Department Of Treasury Page 3

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instructions for Completing Form 4757
Application for Commercial Facilities Exemption Certificate
The Commercial Facilities Exemption Certificate was created by Public Act 255 of 1978, as amended. Applications for a certificate of
exemption are filed, reviewed, and approved by the Local Governmental Unit (LGU). A copy of the certificate is filed with the State Tax
Commission .
Owner / Applicant instructions
1. Complete Parts 1, 2 and 3 of the application. Restoration, replacement, or construction may commence after establishment of a
district.
2. The following must be provided to the LGU as attachments to the application:
a.
General description of the facility (year built, original use, most recent use, number of stories, square footage).
b. General description of the proposed use of the facility.
c.
General description of the nature and extent of the restoration, replacement, or construction to be undertaken.
d. Legal description of the facility.
e.
Descriptive list of the fixed building equipment that will be a part of the facility.
f.
Time schedule for undertaking and completing the restoration, replacement, or construction of the facility.
g. Statement of the economic advantages expected from the exemption.
3. After reviewing Parts 1, 2, and 3 for complete and accurate information, sign the application where indicated.
lGu Assessor instructions
1. Complete Part 4 of the application.
2. After completing Part 4, sign where indicated to certify that if approved, the property will appear on the Commercial Facilities
Exemption specific tax roll only.
lGu Clerk instructions
1. After the LGU passes a resolution approving the application, complete Part 5 of the application. A resolution template with
required statements can be found at
2. After reviewing the application for complete and accurate information, sign the application to certify the application meets the
requirements as outlined by Public Act 255 of 1978, as amended.
3. Issue a certificate to the applicant using the certificate templates found at
4. If in Part 1 the applicant did not wish to be considered for the State Education Tax exclusion, submit only a copy of the Certificate
to the State Tax Commission at the address given below.
5.
If in Part 1 the applicant did wish to be considered for the State Education Tax exclusion, submit a copy of the certificate,
application and attachments to the State Tax Commission at the address given below.
State Tax Commission
P.O. Box 30471
Lansing, MI 48909

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