Form 2870 - Real Property Statement
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1CLEAR FORM
Michigan Department of Treasury, PTD
This form is issued under authority of P.A. 206
2870 (1-02), Formerly L-4111
of 1893. Filing is mandatory. Failure to file is
punishable by fine and/or imprisonment.
Real Property Statement December 31, _______
This statement must be filed on or before
Name of Business
Address (Post Office, RR#, City, State, ZIP)
Owners Names
Check Type of Organization
Corporation
Nature of Business
Partnership
Location of Main Office
Individual
Year Purchased
Size
Cost
LAND
$0.00
TOTAL
Year
Type
Cost
Type
Cost
LAND
IMPROVEMENTS
TOTAL
$0.00
Year Built
Year Purchased
Type
Cost
BUILDING
ATTACHED EQUIPMENT
$0.00
Year Built
Year Purchased
Type
Cost
BUILDING
ATTACHED EQUIPMENT
TOTAL
$0.00
Year Built
Year Purchased
Type
Cost
BUILDING
ATTACHED EQUIPMENT
TOTAL
$0.00
Year Started
Completion Date
Type of Construction
Cost to Date
REAL PROPERTY
CONSTRUCTION
IN PROGRESS
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Parent category: Financial