FOR BOARD OF REVIEW USE ONLY
INSTRUCTIONS: Incorporate a copy of this form and the assigned number in the Board of Review minutes.
Petition Number Parcel Code
1. ASSESSED VALUE
Disposition by Board of Review. The Board of Review must state the reason for its action below.
Denied Assessed Value Changed From ______________________ to ____________________________
Record of vote - Board or three member committee of board
Yes No Yes No Yes No
Chairperson: Member: Member:
Reason for board action
2. TENTATIVE TAXABLE VALUE
Disposition by Board of Review. The Board of Review must state the reason for its action below.
Denied Tentative Taxable Value Changed From ___________________ to ________________________
Record of vote - Board or three member committee of board
Yes No Yes No Yes No
Chairperson: Member: Member:
Reason for board action
3. CLASSIFICATION
Disposition by Board of Review. The Board of Review must state the reason for its action below.
Denied Classification Changed From ______________________ to ____________________________
Record of vote - Board or three member committee of board
Yes No Yes No Yes No
Chairperson: Member: Member:
Reason for board action
4. QUALIFIED AGRICULTURAL PROPERTY EXEMPTION
Disposition by Board of Review. The Board of Review must state the reason for its action below.
Exemption Request Denied
Exemption percent modified from _____________% to _____________%
Record of vote - Board or three member committee of board
Yes No Yes No Yes No
Chairperson: Member: Member:
Reason for board action
Date of Final adjournment of Board of Review
Board of Review Secretary Signature Date
5. ADJOURNMENT
Form 618, Page 2
Initials
Initials Initials
Initials Initials Initials
Initials Initials Initials
Initials Initials Initials
If you disagree with the decision of the Board of Review regarding tentative taxable value, you may appeal that decision by filing a petition with the
Michigan Tax Tribunal at P.O. Box 30232, Lansing, MI 48909. Commercial Real, Industrial Real, Developmental Real, Commercial Personal,
Industrial Personal and Utility Personal Property may be appealed by May 31. Agricultural Real, Residential Real, Timber-Cutover Real and
Agricultural Personal Property may be appealed by July 31. 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 www.michigan.gov/taxtrib.
If you disagree with the decision of the Board of Review regarding classification, you may appeal by sending Form 2167 to the State Tax Commission
at P.O. Box 30471, Lansing, MI 48909 by June 30.
If you disagree with the decision of the Board of Review regarding tentative taxable value, you may appeal that decision by filing a petition with the
Michigan Tax Tribunal at P.O. Box 30232, Lansing, MI 48909 by July 31. 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 www.michigan.gov/taxtrib.
If you disagree with the decision of the Board of Review regarding tentative assessed value, you may appeal that decision by filing a petition with the
Michigan Tax Tribunal at P.O. Box 30232, Lansing, MI 48909. Commercial Real, Industrial Real, Developmental Real, Commercial Personal,
Industrial Personal and Utility Personal Property may be appealed by May 31. Agricultural Real, Residential Real, Timber-Cutover Real and Agricultural
Personal Property may be appealed by July 31. 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 www.michigan.gov/taxtrib.
