Form 4242 Assessor Affidavit Regarding the Determination That a Qualified Start-Up Business Exemption Has Been Erroneously Granted - Michigan

Form 4242 or the "Assessor Affidavit Regarding The Determination That A Qualified Start-up Business Exemption Has Been Erroneously Granted" is a form issued by the Michigan Department of Treasury.

Download a fillable PDF version of the Form 4242 down below or find it on the Michigan Department of Treasury Forms website.

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Michigan Department of Treasury
4242 (09-04)
ASSESSOR AFFIDAVIT REGARDING THE DETERMINATION THAT A
County
QUALIFIED START-UP BUSINESS EXEMPTION HAS BEEN ERRONEOUSLY GRANTED
The changes in Taxable Value recorded on this affidavit are authorized by
Section 7 h h of the General Property Tax Act, P.A. 206 of 1893, as amended.
In accordance with this authority, a correction has been made in the Assessed Value(s) and Taxable Value(s) of the following described property:
___________________________________ located in the City of/Township of/Village of ______________________________.
This is a correction to the __________
(Tax Years)
(Parcel Identification Number)
Assessment/Tax Roll(s).
Correction of Assessed Value and Taxable Value
Year of Assessment:
Year of Assessment:
School Code
Amount of
Amount of
Before Correction
Corrected
Before Correction
Corrected
Increase
Increase
Assessed Value
Taxable Value
Correction of Taxing Unit Levy
Year of Assessment:
Year of Assessment:
Taxing Unit
Amount of
Amount of
Before Correction
Corrected
Before Correction
Corrected
Increase
Increase
County
Intermediate School District
Community College
State Education Tax
Local School Operating
Local School Supplemental (<=18)
Local School Supplemental (> 18)
Local School Enhancement
Local School Debt
City/Township/Village
Other
Total
NOTE: The levy section of this affidavit does not include collections fees, penalties, and interest paid. These must be included, when applicable, by the treasurer as
required by M.C.L. 211 7 h h.
I, _______________________________________, being the certified assessor for the City/Twp of ___________________________, do hereby swear or affirm that
the above information is true, to the best of my knowledge.
Signature of Certified Assessor
Date
Certification No.
Copies to: State Tax Commission, Equalization Department, County Treasurer, and the Treasurers of all other affected Taxing Authorities.
Reset Form
Michigan Department of Treasury
4242 (09-04)
ASSESSOR AFFIDAVIT REGARDING THE DETERMINATION THAT A
County
QUALIFIED START-UP BUSINESS EXEMPTION HAS BEEN ERRONEOUSLY GRANTED
The changes in Taxable Value recorded on this affidavit are authorized by
Section 7 h h of the General Property Tax Act, P.A. 206 of 1893, as amended.
In accordance with this authority, a correction has been made in the Assessed Value(s) and Taxable Value(s) of the following described property:
___________________________________ located in the City of/Township of/Village of ______________________________.
This is a correction to the __________
(Tax Years)
(Parcel Identification Number)
Assessment/Tax Roll(s).
Correction of Assessed Value and Taxable Value
Year of Assessment:
Year of Assessment:
School Code
Amount of
Amount of
Before Correction
Corrected
Before Correction
Corrected
Increase
Increase
Assessed Value
Taxable Value
Correction of Taxing Unit Levy
Year of Assessment:
Year of Assessment:
Taxing Unit
Amount of
Amount of
Before Correction
Corrected
Before Correction
Corrected
Increase
Increase
County
Intermediate School District
Community College
State Education Tax
Local School Operating
Local School Supplemental (<=18)
Local School Supplemental (> 18)
Local School Enhancement
Local School Debt
City/Township/Village
Other
Total
NOTE: The levy section of this affidavit does not include collections fees, penalties, and interest paid. These must be included, when applicable, by the treasurer as
required by M.C.L. 211 7 h h.
I, _______________________________________, being the certified assessor for the City/Twp of ___________________________, do hereby swear or affirm that
the above information is true, to the best of my knowledge.
Signature of Certified Assessor
Date
Certification No.
Copies to: State Tax Commission, Equalization Department, County Treasurer, and the Treasurers of all other affected Taxing Authorities.

Download Form 4242 Assessor Affidavit Regarding the Determination That a Qualified Start-Up Business Exemption Has Been Erroneously Granted - Michigan

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