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Michigan Department of Treasury
STC Use Only
2167A (Rev 10-13)
Petition Number
Year
Assessor Petition for Change of Property Classification
This petition is issued under the authority of the Public Act 206 of 1893, Michigan Compiled Law 211.34c. Filing is mandatory.
Instructions: This petition must be completed in its entirety. Incomplete petitions will be returned unprocessed. All petitions must
be received by the State Tax Commission by June 30 of the current year to be considered as mandated by MCL 211.34c. A separate
form must be filed for each parcel being appealed. Decisions of the Board of Review regarding valuation or exemption, may be
appealed by filing a petition with the Michigan Tax Tribunal at P.O. Box 30232, Lansing, MI 48909. The petition must be filed on
a Michigan Tax Tribunal form or a form approved by the Michigan Tax Tribunal. Michigan Tax Tribunal forms are available at
Note: The Petition for Change of Property Classification form and supporting documentation is the only information that will be considered
by the State Tax Commission for review of this classification appeal, as in accordance with MCL 211.34c which states: “The State Tax
Commission shall arbitrate the petition based on the written petition and the written recommendations of the assessor and the State Tax
Commission staff.” Property Owners will not be afforded an opportunity to present their appeal in person.
Assessor Information
Property Owner Information
Assessor of Record Name (First, Initial, and Last)
Property Owner Name (First, Initial and Last)
Street Address
Street Address
City
State
City
State
ZIP Code
Telephone Number
ZIP Code
Telephone Number
Property Information (This petition is a request for change in classification for the property described below.)
Number of Acres
County
Name of Local Unit
City/Township/Village
Current Year Taxable Value
Parcel Code Number
Current Year Property Classification
Agricultural Real
Industrial Real
Timber-Cutover Real
Agricultural Personal
Industrial Personal
Utility Personal
Commercial Real
Residential Real
Developmental Real
Commercial Personal
Residential Personal
Requested Property Classification
Agricultural Real
Industrial Real
Timber-Cutover Real
Agricultural Personal
Industrial Personal
Utility Personal
Commercial Real
Residential Real
Developmental Real
Commercial Personal
Residential Personal
List the Specific Reasons that Support the Request for Change in Property Classification (attach separate pages if necessary.)