Form L-4100 - Petition For Change Of Property Classification - Michigan Department Of Treasury

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Michgan Department of Treasury, STC
2167 (Rev. 10-02)
Petition No.
Formerly L-4100
Petition for Change of Property Classification
Year
INSTRUCTIONS: Completion of this form is mandatory under Sections 211.34c and 211.150. Failure to complete this form may result in the rejection of
the petition. Failure to submit this form will result in rejection of the petition. This petition is limited to Property Classification 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.
A. Property Owner
If Represented by Attorney or Agent
Name
Name
Address
Address
City
State
City
State
Zip Code
Phone Number
Zip Code
Phone Number
B. The property owner or his/her authorized agent hereby files a petition for change of the following described
property classification appearing on the assessment rolls of:
County of
City or Township of
School District(s)
Village of
C. Legal Description
List complete legal description and parcel code number
D. Property Address
Number and Street
between ______________________________ Street and ________________________ Street
E. Date of protest of property classification to the Local Board of Review
Date of Protest
F. Current Year Property Classification (as classified by the assessor)
Agricultural Real (100)
Industrial Real(300)
Timber-Cutover Real (500)
Agricultural Personal (150)
Industrial Personal (350)
Utility Personal(550)
Commercial Real (200)
Residential Real (400)
Developmental Real (600)
Commercial Personal (250)
Residential Personal (450)
Property classfication as approved by the Local Board of Review:

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