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Local Government Official Forms

Fillable Forms Disclaimer: Currently, there is no computation, validation, or verification of the information you enter, and you are still responsible for entering all required information. Instructions may require some information to be handwritten on the form (signatures, for example).

Number

Former Number

Form Title

Instructions / Notes

Appendix 1, ISD Specific Tax Percentages 2016-2023

57

Fee Transmittal for State of Michigan Probate and Circuit Courts

170-CFT

Commercial Facility Tax Report

170-CRA

Commercial Rehabilitation Act Tax Report

170-IFT

L-170

Industrial Facility Tax Report-Short Version

For use with 45 or fewer certificates

170-OPRA

Obsolete Property Rehabilitation Act Tax Report

272

Proof of Publication Affidavit

295

Fee Transmittal from District or Municipal Courts

296

L-2262

Proof of Notice of Administrative Show Cause Hearing and Judicial Foreclosure Hearing Affidavit

496

L-3147

Auditing Procedures Report (V1.09)

496 Instructions

600

L-4016

Supplemental Special Assessment Report

602

L-4018P

Analysis for Equalized Valuation - Personal Property

603

L-4018R

Analysis for Equalized Valuation - Real Property

606

L-4021

Assessment Roll Changes Worksheet

607

L-4022

Report of Assessment Roll Changes and Classification

608

L-4024

Personal and Real Property TOTALS

Online Filing

609

F-4025

Report of Taxable Valuations of Additions and Losses

610

L-4025SEV

Calculation of S.E.V. Including Additions, Losses and Totals

612

L-4028

Millage Reduction Fraction Calculation

612/L-4028 Excel Version

613

L-4028IC

Complete Millage Reduction Fraction Calculation

613/L-4028IC Excel Version

614

L-4029

Tax Rate Request

617

L-4033

Commercial Real Property Statement

618

L-4035

Petition to Board of Review for Revision of Property Assessment

Board of Review FAQ

621

L-4104

STC Calculator Cost Computation

622

L-4105

STC Segregated Cost Computation Sheet

627

L-4154

Assessor or Equalization Director's Notice of Property Incorrectly Reported or Omitted from Assessment Roll

628

L-4155

Notice by Owner of Property Incorrectly Reported or Omitted from Assessment Roll

629

L-4156

Notice of Property Incorrectly Reported or Omitted from the Assessment Roll

632 (2024)

L-4175 2024 (12/31/23) Personal Property Statement

632 (2023)

L-4175

2023 (12/31/22) Personal Property Statement

632 (2022)

L-4175 2022 (12/31/21) Personal Property Statement

632 (2021)

L-4175 2021 (12/31/20) Personal Property Statement

633

L-4175D

Personal Property Statement Electrical Distribution Cooperative

635

L-4182R

Real Property Statement

636

L-4182AR

Real Property Statement

638

L-4184

Timber-Cutover Appraisal Record Card

639

L-4188

Residential Appraisal Record Card

640

L-4189

Commercial/Industrial Appraisal Record Card

641

L-4190

Agricultural Appraisal Record Card

865

L-4293

Request for Non-consideration of True Cash Value of Normal Repair, Replacement, and Maintenance Expenditures

868

L-4297

Truth in Taxation Notice

891

Application for Water Pollution Control Tax Exemption

1012

L4380

Application for Industrial Facilities Exemption

1019

L-4400

Notice of Assessment, Taxable Valuation, and Property Classification

Board of Review FAQ

1020

L-4402

Statement Showing Taxable Valuations and Mills Apportioned

1411

Request for Allocation

1428

Application for State Treasurer's Approval to Issue Long-Term Securities

Instructions for Application to Issue LTPA

1432

Application for Exemption

1435

Application for State Treasurer's Approval to Issue Short-Term Securities

Instructions for Application to Issue STPA

2014

L-4172

Agricultural Land Value Grid

2164

L-4023

Analysis for Equalized Valuations

Online Filing

2166

L-4034

Millage Reduction Fraction Calculations Worksheet

2167

L-4100

Petition for Change of Property Classification

2167A

Assessor's Petition for Change of Property Classification

2168

L-4100 R

Assessor's Response to Petition for Change of Property Classification

2168PO

Property Owners Response to Petition for Change of Property Classification

2219

Transmittal for Michigan Survey Monument Replacement Fees

2368

Principal Residence Exemption (PRE Affidavit)

2602

Request to Rescind Principal Residence Exemption

2604

Tax Increment Financing Plan Report, 2008 and After

2691

L-4037

Assessment Roll Certification

2696

Request for Approval of Computerized Tax Roll by a Local Unit

2698

L-4142

Idle Equipment, Obsolete Equipment & Surplus Equipment Report

2699

L-4143

Statement of "Qualified Personal Property" by a "Qualified Business"

2700

Application for Property Tax Relief During Active Military Service as Permitted Under the Federal Soldiers and Sailors Relief Act (For Additional Reporting)

2705

L-4258

Real Estate Transfer Valuation Affidavit

2715

County Government Electronic Funds Transfer (EFT) Credit Instructions

2719

Return for State Real Estate Transfer Tax

2720

Return for Michigan State Education Tax, Mobile Home Tax and Agriculture Property Recapture Tax

2742

Notice of Denial of Principal Residence Exemption (Local(City/Township))

2743

T-1072

Request to Rescind Qualified Agricultural Property Exemption

2753

Batch Cover Sheet for Principal Residence Exemption Forms

2766

L-4260

Property Transfer Affidavit

2793

L-4017 & L-4047

2021 24 Month & 12 Month Sales Ratio Study

2795

L-4046

Taxable Valuations

Online Filing

2796

T-1076

Application for State Real Estate Transfer Tax Refund

2807

L-4143a

Statement of "Qualified Personal Property" by a "Qualified Business"

(For Additional Reporting)

3128 (2024)

L-4035a

2024 Taxable Value Calculations Worksheet

Board of Review FAQ

3214

L-4054

Uncapping Taxable Value

3215

L-4113

Certification of Equalization Study by Equalization Director

3222

Fiscal Statement

3278

L-4260a

Notice to Assessor of Transfer of the Right to Make a Division of Land

3427

Application for New Personal Property Exemption

3434

Assessor Affidavit Regarding Exemption of Partially Completed New Construction

3452

Assessor Affidavit Regarding the Recalculation of Taxable Value Following an MTT Order for a Prior Year

3589 (2024)

2024 Cable Television & Public Utility Property Report

3589 (2023)

2023 Cable Television & Public Utility Property Report

3589 (2022)

2022 Cable Television & Public Utility Property Report

3594

Property Statement for Communication Towers

3595

Itemized Listing of Daily Rental Property

3612

Itemized Listing of Daily Rental Property (for Additional Reporting)

3626

Certificate of Forfeiture of Real Property

3627

County Treasurer Redemption Certificate

3663

L-4111

Real Property Statement

(Assessment Purposes Only)

3674

Application for Obsolete Property Rehabilitation Exemption

3675

Assessor Affidavit Regarding the Recapping of the Taxable Value of Qualified Agricultural Property

3676

Affidavit Attesting That Qualified Agricultural Property Shall Remain Qualified Agricultural Property

3677

Notice of Intent to Rescind The Qualified Agricultural Property Exemption

3684

Judgment of Foreclosure

3689

L-4027i

Interim Report of Study Activity by Unit and Class

3711

Report of Heavy Earth Moving Equipment Claimed as Exempt Inventory

3725

County Treasurer's Fees Transmittal

3727

Petition of Foreclosure

3731

Notice of Judgment of Foreclosure

3732

Affidavit of Notice of Forfeited Property - Personal Visit

3828

Application for Air Pollution Control Tax Exemption

3839

Cancellation of Certificate of Forfeiture

3865

Industrial Facility Tax Voucher

3892

Security Report

Security Report Template

3912

Certificate of Error

3944

Request for Approval of Computerized Tax Roll by County Treasurer

3945

Computerized Tax Roll Re-Certification

3965

F-65 Annual Local Unit Financial Report

F65 Instructions

F65 FAQs

3966

Taxpayer Report of Personal Property "Move-Ins"

3967

Cancellation of Notice of Judgment of Foreclosure

3976

Electronic Signature Declaration for Real and Personal Property Statements

3979

Request for Verification of Personal Identification Number

3980

Facsimile Signature Declaration for Real and Personal Property Statements

3991

Gas Turbine and Diesel Electric Generator Property Report

4031

July/December Board of Review Affidavit

Board of Review FAQ

4070

Hydroelectric Property Report

4075

Notice of Denial of Principal Residence Exemption (County)

4093

L-4400 LH

Notice of Assessment, Taxable Valuation, and Property Classification

Board of Review FAQ

4094

Steam Electric Property Report

4142

Principal Residence Denial Interest Summary

4147

Local Transmittal for State of Michigan for Local Corrections Officer Training Fund

4169

Request for Michigan Principal Residence Information

4191

Proof of Service

4226

Affidavit Filed by a Qualified Start-Up Business for Claiming Property Tax Exemption

4230

Affidavit Filed by an Innovations Center for Claiming Property Tax Exemption

4242

Assessor Affidavit Regarding The Determination That A Qualified Start-Up Business Exemption Has Been Erroneously Granted - 101152 bytes

4262

Annual Revenue Report for Michigan Tax Information (Local Government Units)

4264

Notice of Show Cause Hearing and Judicial Foreclosure Hearing (for Opt-In Counties)

4329

Notice of Pending Expedited Quiet Title and Foreclosure Action

4452

Cellular (Wireless) Site Equipment Personal Property Report

4463

Request for Carryforward Allocation

4504

L-4015a

Appraisal Study Listing

4546

Real Property Statement - Financial Institution - Previously Foreclosed Property

4564 (2008 and After)

Assessing Officers Report for Industrial Facility Exemption Certificates 2008 and After (Excel)

Email the IFE

4618

Sales Study Listing

4626

Assessing Officer's Report of Taxable Values as of State Equalization

Assessor Instructions

Equalization Instructions

4640

Conditional Rescission of Principal Residence Exemption (PRE)

4650

Request for State Reimbursement of Tax Increment Revenue Decreases

Due June 1, 2023

4660

Principal Residence Exemption (PRE) Active Duty Military Affidavit

4745

Certificate of Error for Judgment Quieting Title in Land Bank

4768

Commercial Facilities Exemption Assessing Officer Report

4769

Commercial Rehabilitation Assessing Officer Report

4770

Obsolete Property Rehabilitation Act Assessing Officer Report

4775

Application for Neighborhood Enterprise Zone Exemption

4776

Application for Neighborhood Enterprise Zone Homestead Facility Certificate

4794

Certificate of Error for Judgment of Foreclosure (County)

4813

Assessor's Affidavit to Waive Principal Residence Exemption (PRE) Denial Interest

4816

Request to Bill Seller Following a Principal Residence Exemption (PRE) Denial

4863

Real Property Statement for Commercial and Industrial, and Apartment Property Owners

4936

STC DNR PILT Vacant Agricultural Land Study

4937

STC Certification of DNR PILT Vacant Agricultural Land Study

4983

Foreclosure Entity Conditional Rescission of a Principal Residence Exemption (PRE)

5005

Foreclosure Entity Payment Form - Principal Residence Exemption (PRE)

5020

Assessor's Confirmation of Agricultural Use Property Acreage ...

5033

Affidavit Claiming Exemption from School Operating Millage Levied for Construction Located on 'Eligible Development Property'

5047

Qualifying Statement

5047 Instructions

5050

Request to Rescind Exemption from School Operating Millage Levied for New Construction Located on Development Property

5101

Request for Principal Residence Exemption - Qualified Error

5113

County Government Electronic Funds Transfer (EFT) Debit Application

5190

Annual Allocation Rates

5277

Affidavit to Rescind Exemption of Eligible Manufacturing Personal Property Defined in MCL 211.9(m) and 211.9(n)

5278

Affidavit and Statement for Eligible Manufacturing Personal Property and Essential Services Assessment

5366

Application for State Treasurer's Approval to Issue Pension or Other Post-Employment Benefits (OPEB) Long-Term Securities

Instructions for Application to Issue Pension/OPEB Bonds

5445

Request for Recertification for Use of a Computerized Assessment Roll by a Local Unit

5446

Request for New Certification for Use of a Computerized Assessment Roll by a Local Unit

5565

Principal Residence Exemption Affidavit for Similar Exemptions in Other States

5571

L-4014a

Preliminary Appraisal Study Listing

5572

Retirement System Annual Report Template

Instructions

5583

Application for Waiver and Plan Defined Benefit Pension Retirement Systems

5584

Application for Waiver and Plan Retirement Health Benefit Systems

5597

Protecting Local Government Retirement and Benefits Act Corrective Action Plan: Retirement Health Benefit Systems

5598

Protecting Local Government Retirement and Benefits Act Corrective Action Plan: Defined Benefit Pension Retirement Systems

5697

STC Petition for Approval of County Designated Assessor

5720

Protecting Local Government Retirement and Benefits Act Corrective Action Plan Monitoring: Application for Certification of Compliance

5737

Application for MCL 211.7u Poverty Exemption

5738

Request for Approval of Percentage Reduction in Taxable Value for Poverty Exemptions Under MCL 211.7u

5739

Affirmation of Ownership and Occupancy to Remain Exempt by Reason of Poverty

5762

Solar Energy System Report

5852

Property Tax Administration Fee Certification

5965 Application to Request 2021 Eligible Manufacturing Personal Property (EMPP) Exemption Under PA 211 of 2023
6091 STC Petition to Opt-Out of County Designated Assessor