Form 629 "Notice of Property Incorrectly Reported or Omitted From the Assessment Roll Filed by a Person Other Than the Owner, Assessor or Equalization Director" - Michigan

Form 629 or the "Notice Of Property Incorrectly Reported Or Omitted From The Assessment Roll Filed By A Person Other Than The Owner, Assessor Or Equalization Director" is a form issued by the Michigan Department of Treasury.

Download a fillable PDF version of the Form 629 down below or find it on the Michigan Department of Treasury Forms website.

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Download Form 629 "Notice of Property Incorrectly Reported or Omitted From the Assessment Roll Filed by a Person Other Than the Owner, Assessor or Equalization Director" - Michigan

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L-4156
Michigan Department of Treasury
629 (Rev. 11-17)
Notice of Property Incorrectly Reported or Omitted
OFFICE USE ONLY
from the Assessment Roll Filed by a Person other than
File Number
the Owner, Assessor or Equalization Director
This form is issued under authority of Section 211.154, MCL.
INFORMATION FROM PERSON GIVING NOTICE (must be typed or printed legibly)
DESCRIPTION OF PROPERTY OMITTED
PROPERTY OWNER (if known)
OR INCORRECTLY REPORTED
Name of Property Owner(s)
Describe property in detail, and attach additional sheets if necessary.
Owner’s Address (No. and Street, City, State and ZIP Code)
Property Location
(Complete address, Parcel No., or (legal) description of
place where incorrectly reported or omitted property is located.)
NAME & ADDRESS OF PERSON GIVING NOTICE
Name
Address (No. and Street, City, State and ZIP Code)
Daytime Phone Number
E-mail Address
SIGNATURE AND CERTIFICATION OF PERSON GIVING NOTICE
I certify that the above information is correct to the best of my knowledge and belief.
Signature
Date
PROPERTY AND ASSESSMENT ROLL INFORMATION (Completed by State Tax Commission)
County Where Property is Located
Name of Assessing Unit (indicate City or Township)
Village Name (if applicable)
School District
Property Classification
Parcel Code (or enter property description)
PERSONAL PROPERTY NOTICES ONLY: Did the owner of the property complete and deliver a Form 632 (L-4175), Personal
Property Statement, for each year that this notice covers, that was:
Timely Filed? (Accepted as filed and used in determining the assessment that was confirmed by the Board of Review?)
Estimated/Not Filed? If estimated or not filed, indicate the year(s):
ASSESSED VALUE
TAXABLE VALUE
Year(s) for Which Notice
Assessed Value
Requested
Taxable Value
Requested
was Given
on Assessment Roll
Assessed Value
on Assessment Roll
Taxable Value
Signature of Chairperson/Executive Director, Michigan State Tax Commission
Date
Michigan State Tax Commission Findings (for STC use only):
Reset Form
L-4156
Michigan Department of Treasury
629 (Rev. 11-17)
Notice of Property Incorrectly Reported or Omitted
OFFICE USE ONLY
from the Assessment Roll Filed by a Person other than
File Number
the Owner, Assessor or Equalization Director
This form is issued under authority of Section 211.154, MCL.
INFORMATION FROM PERSON GIVING NOTICE (must be typed or printed legibly)
DESCRIPTION OF PROPERTY OMITTED
PROPERTY OWNER (if known)
OR INCORRECTLY REPORTED
Name of Property Owner(s)
Describe property in detail, and attach additional sheets if necessary.
Owner’s Address (No. and Street, City, State and ZIP Code)
Property Location
(Complete address, Parcel No., or (legal) description of
place where incorrectly reported or omitted property is located.)
NAME & ADDRESS OF PERSON GIVING NOTICE
Name
Address (No. and Street, City, State and ZIP Code)
Daytime Phone Number
E-mail Address
SIGNATURE AND CERTIFICATION OF PERSON GIVING NOTICE
I certify that the above information is correct to the best of my knowledge and belief.
Signature
Date
PROPERTY AND ASSESSMENT ROLL INFORMATION (Completed by State Tax Commission)
County Where Property is Located
Name of Assessing Unit (indicate City or Township)
Village Name (if applicable)
School District
Property Classification
Parcel Code (or enter property description)
PERSONAL PROPERTY NOTICES ONLY: Did the owner of the property complete and deliver a Form 632 (L-4175), Personal
Property Statement, for each year that this notice covers, that was:
Timely Filed? (Accepted as filed and used in determining the assessment that was confirmed by the Board of Review?)
Estimated/Not Filed? If estimated or not filed, indicate the year(s):
ASSESSED VALUE
TAXABLE VALUE
Year(s) for Which Notice
Assessed Value
Requested
Taxable Value
Requested
was Given
on Assessment Roll
Assessed Value
on Assessment Roll
Taxable Value
Signature of Chairperson/Executive Director, Michigan State Tax Commission
Date
Michigan State Tax Commission Findings (for STC use only):
629, Page 2 of 2
Parcel Code from Page 1
ASSESSOR’S CONCURRENCE OR DISAGREEMENT WITh ThIS REqUEST
This section must be completed by the assessor.
I AGREE with this request for corrected Assessed Value and/or Taxable Value.
I DO NOT AGREE with this request for corrected Assessed Value and/or Taxable Value. (The assessor who checks this box
must submit to the State Tax Commission an explanation below of the reason for not concurring.)
Assessor’s Explanation for Not Concurring:
Assessor Signature
Date
Assessor Name
Title
Address (Number, Street, City, State and ZIP Code)
Telephone Number
E-mail Address
OWNER’S CONCURRENCE OR DISAGREEMENT WITh ThIS REqUEST
This section must be completed by the property owner or agent.
I AGREE with this request for corrected Assessed Value and/or Taxable Value.
I DO NOT AGREE with this request for corrected Assessed Value and/or Taxable Value. (The owner who checks this box must
submit to the State Tax Commission an explanation below for not concurring with this request.)
Owner’s Explanation for Not Concurring:
Did the property covered by this notice change ownership during the time period starting with the earliest year for which a change is
being requested, up to the present?
Yes
No
If Yes, give date:
Property Owner or Agent Signature
Date
Telephone Number
E-mail Address
STC Date Stamp
RETURN ThE COMPLETED AND SIGNED FORM TO:
Michigan Department of Treasury
State Tax Commission
PO Box 30471
Lansing MI 48909
www.michigan.gov/154 petitions
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