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Form 865 - Request For Nonconsideration Of True Cash Value Of Normal Repair, Replacement And Maintenance Expenditures

Michigan Department of Treasury, STC

This form is issued under authority of

865 (Rev. 9-01), Formerly L-4293

Section 211.27, MCL. Filing is voluntary.

REQUEST FOR NONCONSIDERATION OF TRUE CASH VALUE OF

Initial Filing

NORMAL REPAIR, REPLACEMENT AND MAINTENANCE EXPENDITURES

Supplemental Filing

(SECTION 27 OF P.A. 206 OF 1893, AS AMENDED)

For Year Ending

December 31, ___________

SEE INSTRUCTIONS ON REVERSE

Owner's Name

Claim No.

Address

Address of Property

Parcel Code No.

Enter Cost of:

(a)

(a) Outside painting

(b) Repair or replace

1. Siding

2. Roof

3. Porches

4. Steps

5. Sidewalks

6. Drives

(b)

TOTAL

(c)

(d) Replace awnings

(d)

(e) Add or replace gutters or downspouts

(e)

(f) Replace storm windows or doors

(f)

(g) Insulation or weatherstripping

(g)

(h) Rewiring

(h)

(i) Replace

1. Plumbing fixtures

2. Light fixtures

(i)

TOTAL

(j) Replace furnace

(j)

(k) Interior

1. Repair plaster

*Describe other decorating:

2. Inside painting

3. Other decorating*

(k)

TOTAL

(l) Replace

1. Ceiling

2. Wall

3. Floor surface

(l)

TOTAL

(m) Remove partitions

(m)

(n) Replace water heater

(n)

(o) Replace dated interior woodwork

(o)

l TOTAL EXPENDITURES FOR YEAR

ll Expenditure which was part of a structural addition

lll Expenditure which was not part of a structural addition (line l minus line ll)

lll

Signature of Property Owner

Date

TO BE COMPLETED BY ASSESSOR

Estimated True Cash Value After Repair, Replacement

Estimated True Cash Value Before Repair, Replacement

Estimated True Cash Value of Repair, Replacement and Maintenance

and Maintenance

for Nonconsideration

NOTE: Consider enhanced quality and physical

NOTE: Consider the quality and physical

NOTE: This estimate is the difference between the

condition, as is, after the repairs, etc., for this

condition, as it was, before the repairs, etc., for

estimated before value subtracted from the estimated

estimated value.

this estimated value.

after value.

This true cash value would be the basis for the

This true cash value is the basis for the assessed

This true cash value is required to be entered in

assessed value after the residence has been

value on the roll, if these appraisals are

the assessment roll as nonconsideration value.

sold, if these appraisals are up-to-date.

up-to-date.

Form 865 - Request For Nonconsideration Of True Cash Value Of Normal Repair, Replacement And Maintenance Expenditures

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