Fillable Request To Rescind Homeowner's Principal Residence Exemption (City of Oak Park)

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Request To Rescind Homeowner's Principal Residence Exemption (City of Oak Park)

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Michigan Department of Treasury
2602 (Rev. 08-15)
ASSESSOR’S DATE STAMP
Request to Rescind Principal Residence Exemption (PRE)
Issued under authority of Public Act 206 of 1893.
This form must be led with the assessor for the city or township where the property is located.
This address may be on your most recent tax bill or assessment notice.
Type or print in blue or black ink.
PART 1: PROPERTY INFORMATION Type or print legibly. Use a separate form for each property tax identication number.
1. Property Tax Identication Number 2. Name of Local Unit (Check Township or City) 3. County
Township
City
4. Street Address of Property (Provide a Complete Address)
5. Name of Owner (First, Middle, Last) 6. Owner’s Last Four Digits of Social Security Number
XXX-XX-
7. Owner’s Daytime Telephone Number
8. Name of Co-Owner (First, Middle, Last) 9.
Co-Owner’s Last Four Digits of Social Security Number
XXX-XX-
10. Co-Owner’s Daytime Telephone Number
PART 2: RESCIND INFORMATION
11. I am rescinding the Principal Residence Exemption claimed for this property because (check appropriate box(es) below):
a. I am no longer the owner of the property.
b. I own the property, but I no longer occupy the property as my principal residence.
c. I have converted the property to rental property.
d. I have converted the property to commercial property.
e. Other:
12. If the portion of the property in line 1 that you own and occupy as your principal residence has changed,
enter the new percentage here. ......................................................................................................................
12.
%
13. Effective date of the change listed in either 11 or 12. ....................................................................................
13.
Month Day Year
14. This rescission applies to:
a. Owner and Co-owner as listed in boxes 5 and 8 above.
b. Owner only, as listed in box 5 above.
c. Co-owner only, as listed in box 8 above.
15a. New Owner's Name 15b. New Co-Owner's Name
PART 3: OWNER CERTIFICATION
Certication: I certify under penalty of perjury the information contained on this document is true and correct to the best of my knowledge.
16. Owner's Signature/Representative Date
17. Co-Owner's Signature/Representative Date
18. Mailing Address, if Different than Property Address Above
PART 4: ASSESSOR’S CERTIFICATION — FOR LOCAL GOVERNMENT USE ONLY
Certication: I certify, the Request to Rescind, was properly processed and the PRE was removed
and/or adjusted accordingly.
What is the rst year this change
will be posted to the tax roll
(yyyy)?
Assessor’s Signature Date Certied by Assessor (mm/dd/yyyy)
Reset Form
General Instructions
This form enables people who are selling or converting their home to another use to rescind their exemption. It also enables people to
change the percentage that they occupy as their principal residence.
INTEREST AND PENALTY. If it is determined that you claimed property that is not your principal residence, you may be subject to
the additional tax plus penalty and interest as determined under the Property Tax Act.
Line-by-Line Instructions
Lines not listed here are explained on the form.
PART 1: PROPERTY INFORMATION
Line 1: Property is identied with a property tax identication number. This number will be found on your tax bill and on your property
tax assessment notice. Enter this number in the space indicated. If you cannot nd this number, call your township or city assessor.
Submit a separate Form 2602 for each exemption being rescinded. Your property number is vital; without it, your township or city
cannot adjust your property taxes accurately.
Lines 2-4: Enter the complete property address of the exemption you are rescinding. Check the appropriate box for the city or township.
If you live in a village, list the township in which the principal residence is located.
Lines 5-10: Enter the name, the last four digits of the Social Security Number(s) and the daytime telephone number of the legal owner(s).
NOTE: The request for the last four digits of the Social Security Number is authorized under section 42 USC 405 (c) (2) (C) (i).
PART 2: RESCIND INFORMATION
Change an Existing Exemption
You are required to rescind a principal residence exemption when you no longer own and occupy the property as your principal residence.
The exemption will be removed December 31st of the year you rescind the exemption.
Line 11: Check the box(es) that most accurately reects reason you are rescinding your exemption.
Line 12: If you own and live in a multiple-unit or multi-purpose property (e.g. a duplex or apartment building, or a storefront with
an upstairs at), you can claim an exemption only for the portion that you use as your principal residence. Calculate your portion by
dividing the oor area of your principal residence by the oor area of the entire building.
If the parcel of property you are claiming has more than one home on it, you must determine the percentage that you own and
occupy as your principal residence. A second residence on the same property (e.g. a mobile home or second house), is not part of your
principal residence even if it is not rented to another person. Your local assessor can tell you the assessed value of each residence to help
you determine the percentage that is your principal residence.
If you rent part of your home to another person, you may have to prorate your exemption. If your home is a single-family dwelling
and the renters enter through a common door of your living area to get to their rooms, you may claim 100 percent exemption if less than
50 percent of your home is rented to others who use it as a residence. However, if part of the home was converted to an apartment with a
separate entrance, you must calculate the percentage that is your principal residence, by dividing the oor area of your principal residence
by the oor area of the entire building.
Line 13: Enter the date that the change(s) indicated on lines 11 and 12 above became effective.
Line 14: Select the appropriate box.
Line 15: If this rescission is being done because of a change in ownership, list the new owner and, if applicable, co-owner on the
appropriate lines.
PART 3: OWNER CERTIFICATION
Sign and date the form. Enter your mailing address if it is different from the address on line 4.
PART 4: ASSESSOR’S CERTIFICATION — FOR LOCAL GOVERNMENT USE ONLY
This form is not valid unless certied by an assessor. The assessor must property process the form and remove and/or adjust the Principal
Residence Exemption, accordingly.
Mailing Information
Mail your completed form to the township or city assessor in which the property is located. This address may be on your most recent tax
bill or assessment notice. Do not send this form directly to the Department of Treasury.
If you have any questions, visit www.michigan.gov/treasury or call 517-373-1950.
Instructions for Form 2602
Request to Rescind Principal Residence Exemption
2602, Page 2
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Request To Rescind Homeowner's Principal Residence Exemption (City of Oak Park)

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Completed 27 July 2020

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