Form 4242 - Assessor Affidavit Regarding The Determination That A Qualified Start-Up Business Exemption Has Been Erroneously Granted

Download a blank fillable Form 4242 - Assessor Affidavit Regarding The Determination That A Qualified Start-Up Business Exemption Has Been Erroneously Granted in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 4242 - Assessor Affidavit Regarding The Determination That A Qualified Start-Up Business Exemption Has Been Erroneously Granted with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Michigan Department of Treasury

4242 (09-04)

ASSESSOR AFFIDAVIT REGARDING THE DETERMINATION THAT A

County

QUALIFIED START-UP BUSINESS EXEMPTION HAS BEEN ERRONEOUSLY GRANTED

The changes in Taxable Value recorded on this affidavit are authorized by

Section 7 h h of the General Property Tax Act, P.A. 206 of 1893, as amended.

In accordance with this authority, a correction has been made in the Assessed Value(s) and Taxable Value(s) of the following described property:

___________________________________ located in the City of/Township of/Village of ______________________________.

This is a correction to the __________

(Tax Years)

(Parcel Identification Number)

Assessment/Tax Roll(s).

Correction of Assessed Value and Taxable Value

Year of Assessment:

School Code

Amount of

Before Correction

Corrected

Before Correction

Corrected

Increase

Assessed Value

Taxable Value

Correction of Taxing Unit Levy

Year of Assessment:

Taxing Unit

Amount of

Before Correction

Corrected

Before Correction

Corrected

Increase

County

Intermediate School District

Community College

State Education Tax

Local School Operating

Local School Supplemental (<=18)

Local School Supplemental (> 18)

Local School Enhancement

Local School Debt

City/Township/Village

Other

Total

NOTE: The levy section of this affidavit does not include collections fees, penalties, and interest paid. These must be included, when applicable, by the treasurer as

required by M.C.L. 211 7 h h.

I, _______________________________________, being the certified assessor for the City/Twp of ___________________________, do hereby swear or affirm that

the above information is true, to the best of my knowledge.

Signature of Certified Assessor

Date

Certification No.

Copies to: State Tax Commission, Equalization Department, County Treasurer, and the Treasurers of all other affected Taxing Authorities.