INSTRUCTIONS
LAND - List size as dimensions for lots and as acreage for large parcels. Give year purchased and cost for each
acquisition.
LAND IMPROVEMENTS - List all major improvements to land such as paving, railroad sidings, fencing, tanks, water
system, docks, wharves, retaining walls, septic tanks, disposal fields, sewage treatment facilities, roads and bridges, etc.,
giving year built or acquired and the original cost.
BUILDINGS - List each building separately giving the year built or acquired, type of building (store, office,
manufacturing, warehouse, power house, garage, gas station, shed, etc.) and original cost.
ATTACHED EQUIPMENT - Include all equipment which has not been reported on the personal property statement.
Include such items as built-in air conditioning, pumps, tanks, hoists, elevators, dumb-waiters, escalators, sprinkler system,
power wiring and power equipment, generators, boilers, cranes, and scales, etc.
ATTACH EXTRA SCHEDULES IF NECESSARY
EXCERPT FROM THE GENERAL PROPERTY TAX ACT
211.18 (3) If a supervisor, assessing officer, or county tax or equalization department, provided for in section 34, or if
the state tax commission considers it necessary in the proper administration of this act to require from any person a written
statement under oath of real property assessable to that person, it shall notify the person, and that person, natural or legal,
shall make the statement.
STATE OF MICHIGAN
)
ss
)
COUNTY OF ________________________________
)
__________________________________ ________________________ being duly sworn, deposes and says that
Official Title
this is a full and true statement of all real property owned by him/her in the (township, city) of ______________________
_________________________________ County, Michigan on the _________ day of __________________ 19 ___
Signed ____________________
Subscribed and sworn to before me this ___________________ day of _____________________________ 19 ____
__________________________________________
_____________________________________
Notary Public
My Commission Expires