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Michigan Department of Treasury
3612 (Rev. 07-18)
2019 Itemized Listing of Daily Rental Property (as of 12-31-18)
(For Additional Reporting)
Owner’s Name
Rental Business Location (Street, City or Township, State, ZIP Code)
Year
Acquisition Cost New
Description of Property
Manufacturer’s
Make and/or
Serial Number
Placed in
(Rounded to the
I.D. No.
(Please be specfic)
Name
Model
(if assigned)
Service
nearest dollar)
Total Acquision Cost (this page)
(Add total to totals from all other sheets of Form 3612 and carry to line 2 of Form 3595
Reset Form
Michigan Department of Treasury
3612 (Rev. 07-18)
2019 Itemized Listing of Daily Rental Property (as of 12-31-18)
(For Additional Reporting)
Owner’s Name
Rental Business Location (Street, City or Township, State, ZIP Code)
Year
Acquisition Cost New
Description of Property
Manufacturer’s
Make and/or
Serial Number
Placed in
(Rounded to the
I.D. No.
(Please be specfic)
Name
Model
(if assigned)
Service
nearest dollar)
Total Acquision Cost (this page)
(Add total to totals from all other sheets of Form 3612 and carry to line 2 of Form 3595
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