Michigan Department of Treasury - ITD
T-1058 (Rev. 4/96)
HOMESTEAD EXEMPTION UPDATE
Issued under Public Acts 330 and 331 of 1993, as amended. Filing is voluntary.
1. Date of Sale or Date Use of Property Changed
Property Information
Always complete this section of this form.
2. Enter below the property tax identification number of property being transferred, including hyphens.
3. ZIP Code
4. Street Address of Property
5. Name of Township/City
6. County of Property
Township
City
Seller Information
By completing this portion of the form, the seller rescinds any exemption currently in place for the property identified in item #2.
Yes
No
7. Have you already claimed a homestead exemption on this property?
%
8. If the percentage of property that is your homestead has changed, enter the new percentage here
10. Seller's Social Security Number
9. Name of Seller (first, middle, last)
-
-
Name of Co-seller (first, middle, last)
11. Co-seller's Social Security Number
-
-
I certify, under penalty of perjury, that I am selling this property
and do not intend to use it as my principal residence.
Seller's Signature
Date
Co-seller's Signature
Date
Buyer Information
By completing this portion of the form, the buyer may claim an exemption for the property identified in item 2 above.
13. Buyer's Social Security Number
12. Name of Buyer (first, middle, last)
-
-
Name of Co-buyer (first, middle, last)
14. Co-buyer's Social Security Number
-
-
15. Date of Occupancy
16.
month
day
year
Do you intend to occupy this property as your principal residence?
Yes
No
Yes
No
17.
Have you filed an affidavit for a previous residence and not rescinded it
18.
If this property is a multiple-unit dwelling or will be used for commercial and residential use,
%
give the percentage of the entire building that your principal residence will occupy
I certify, under penalty of perjury, that I am purchasing this property
and that all information is true to the best of my knowledge.
Buyer's Signature
Date
Co-buyer's Signature
Date
Local Governments:
Was an exemption in place for this property before the transfer?
Yes
No
If no, what is the first year you will post this exemption to the tax rolls?