Form 2807 - Statement Of "Qualified Personal Property" By A "Qualified Business"

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Michigan Department of Treasury
L-4143a
2807 (Rev. 10-12)
2013 Statement of "Qualified Personal Property"
by a "Qualified Business"
This form is issued under authority of the General Property Tax Act (P.A. 206 of 1893). This statement is subject to audit.
(For Additional Reporting)
Name of Township or City where the property is located on December 31, 2012
Periodic
Frequency of
User's Name and Street Address
Description of Equipment
Purchase Price
Year of
Payment
Payment
Where Property is Located (see inst. #4)
and Model or Serial No.
(see inst. #3)
Purchase
by User
(see inst. #5)

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