Form 606 - Assessment Roll Changes Worksheet

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Michigan Department of Treasury
L-4021
606 (Rev. 06-12)
ASSESSMENT ROLL CHANGES WORKSHEET
The local unit of government will submit the completed form to their County Equalization Department. The form is not required to be submitted to the State Tax Commission.
Real
County
City or Township
Year
Personal
_________
"Headlee" Changes to Prepare STC
Changes to Prepare STC Form L-4022 Only
Form L-4025 Only
Property
______
______
Adjustment
Adjustment
Identification
Class
Board of
Board of
Reason For
Reason For
Number
Code
Review
Review
Loss
(Plus)
(Minus)
New
Change
Additions
Losses
Change

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