Form 3674 - Application For Obsolete Property Rehabilitation Exemption Certificate Page 2

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3674, Page 2

LOCAL GOVERNMENT ACTION

This section is to be completed by the clerk of the local governing unit before submitting the application to the State Tax Commission. Include a copy of

the resolution which approves the application and Instruction items (a) through (f) on page 1, and a separate statement of obsolescence from the

assessor of record with the State Assessor's Board. All sections must be completed in order to process.

PART 1: ACTION TAKEN

Action Date:____________________________________

Exemption Approved for __________ Years, ending December 30, __________ (not to exceed 12 years)

Denied

Date District Established

LUCI Code

School Code

PART 2: RESOLUTIONS

(the following statements must be included in resolutions approving)

A statement that the application is for obsolete property as defined in

A statement that the local unit is a Qualified Local Governmental Unit.

section 2(h) of Public Act 146 of 2000.

A statement that the O bsolete Property Rehabilitation District was

A statement that the commencement of the rehabilitation of the facility

legally established including the date established and the date of

did not occur before

the establishment of the Obsolete Property

hearing as provided by section 3 of Public Act 146 of 2000.

Rehabilitation District.

A statement indicating w hether the taxable value of the property

A statement that the application relates to a rehabilitation program that

proposed to be exempt plus the aggregate taxable value of property

when completed constitutes a rehabilitated facility within the meaning

already exempt under Public Act 146 of 2000 and under Public Act 198

of Public Act 146 of

2000 and that is situated w

ithin an Obsolete

of 1974 (IFT's) exceeds 5% of the total taxable value of the unit.

Property Rehabilitation District

established in a Q

ualified Local

A statement of the factors, criteria and objectives, if any, necessary for

Governmental Unit eligible under Public Act 146 of 2000 to establish

extending the exemption, when the certificate is for less than 12 years.

such a district.

A statement that completion of the rehabilitated facility is calculated to,

A statement that a public hearing was held on the application as

and will at the time of issuance of the certificate, have the reasonable

provided by section 4(2) of Public Act 146 of 2000 including the date of

likelihood to, increase commercial activity, create employment, retain

the hearing.

employment, prevent a loss of employ ment, revitalize urban areas, or

A statement that the applicant is not delinquent in any taxes related to

increase the number of residents in the community in which the facility

the facility.

is situated. The statement shoul d indicate which of these the

If it ex ceeds 5% (see above), a statement that ex ceeding 5% will not

rehabilitation is likely to result in.

have the effect of substantially impeding the operation of the Qualified

A statement that the rehabilitation includes improvements aggregating

Local Governmental Unit or of impairing the financial soundness of an

10% or more of the true cash value of the property at commencement

affected taxing unit.

of the rehabilitation as provided by

section 2(l) of Public Act 146 of

2000.

A statement that all of the items described under "Instructions" (a)

through (f) of the Application for

Obsolete Property Rehabilitation

A statement of the period of time authorized by the Qualified Local

Exemption Certificate have been

provided to the Qualified Local

Governmental Unit for completion of the rehabilitation.

Governmental Unit by the applicant.

PART 3: ASSESSOR RECOMMENDATIONS

Provide the Taxable Value and State Equalized Value of the Obso lete Property, as provided in Public Act 146 of 2000, as amended, for the tax year

immediately preceding the effective date of the certificate (December 31st of the year approved by the STC).

Taxable Value

State Equalized Value (SEV)

Building(s)

Name of Governmental Unit

Date of Action on application

Date of Statement of Obsolescence

PART 4: CLERK CERTIFICATION

The undersigned clerk certifies that, to the best of his/her knowledge, no information contained herein or in the attachments hereto is false in any way.

Further, the undersigned is aware that if any information provided is untrue, the exemption provided by Public Act 146 of 2000 may be in jeopardy.

Name of Clerk

Clerk Signature

Date

Clerk's Mailing Address

City

State

ZIP Code

Telephone Number

Fax Number

Email Address

Michigan Department of Treasury