Form 641 - Agricultural Appraisal Card

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Michigan Department of Treasury, State Tax Commission
641, Formerly L-4190 (Rev. 12-10)
AGRICULTURAL APPRAISAL CARD
County
PHYSICAL AND ECONOMIC FACTORS
PROPERTY ADDRESS:
Township
Road(s)
Town:
TOTAL ACREAGE OWNED:
Owner
Type(s)
Miles Away:
SALE/PRODUCTIVITY ANALYSIS
Produc.
No. of
Parcel I.D.
Electricity
Telephone
Gas Line
Soil Type
Slope
% Rating
Equiv. Acres
Group
Acres
Section
Town
Range
Well
Septic
Public Water
Public Sewer
Description:
TILING: SIZE
Land Rent $
/Acre
Random
Pattern Spacing:
Acres:
SALE DATA
TOTAL EQUIVALENT ACRES:
Price:
Sale Date:
Sale Price of
Grantor:
Liber/Page:
Tillable Land
=
No. 1
$___________________
Grantee:
Instrument:
Equiv. Acres
Land Price
LAND VALUE
Area No.
No. Acres
Value /A.
TOTAL
Surface R.O.W.s
APPRAISAL SUMMARY
TOTAL LAND
$________________________
TOTAL LAND IMPROVEMENTS
$________________________
TOTAL BUILDINGS
$________________________
TOTAL APPRAISED VALUE
$________________________
ROUNDED TO:
$_____________________
Yr.
Assessed Valuation
Board of Review
Tax Tribunal

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