Fill and Sign the National University Recommendation Letter Form

Issued under P. A. 237 of 1994. Filing is required if you wish to adjust an exemption. Mcriigart Department of Treasury 2602 (Rev. 6-99) Formerly T-1067 REQUEST TO RESCIND/WITHDRAW HOMESTEAD EXEMPTION This form must be filed with the assessor for the city or township where the property is located. Property information (Always complete this section.) Type or print legibly. Use a separate form for each property number. * 1. Property tax identification number > 2. ZIP Code *• 3. Street address of property 4. Name of Township or City i i Township Deity 5. County * 6. Name of Owner (first, middle, last) ^ 7. Owner's Social Security Number * 8. Name of Co-Owner (first, middle, last) * 9. Co-Owner's Social Security Number •••3»=s 10. Property owners daytime phone number. PART A: Change an Existing Exemption Complete this portion to rescind or change the percent of the exemption currently in place. 11. Check this box if you have sold, transferred or converted this property from your principal residence to another use such as rental property, commercial property or property waiting to be sold M1. 12. If the portion of the property in number 1 above that you own and occupy as your principal residence has changed, enter the new percentage here M2. Month 13. Enterthe effective dateof the change listed in either 11 orl2 14. New Owner's Name Day M3.1 ! Year I 15. New Co-Owner's Name PART B: Withdrawal Complete this portion if the property is receiving an exemption in error and did not qualify. Office Use Only 16. Enterthe first year the exemption was received in error M6a. M6b. Certification I certify, under penalty of perjury, the information contained on this form is true and correct to the best of my knowledge. 17. Owner's Signature Date 18. Co-Owner's Signature Date 19. Mailing address if different than property address (street, orRRS, City and ZIP) 20. Closing Agent or Preparefs Name & Mailing Address Do not write below this line - Local Government Use Only 21. What is the first year you will post the change in Part A to the tax roll? 22. Indicate property classification 1. Year I 2602 lost 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 or to remove an exemption they had been receiving erroneously. Property Information Line 1: Property is identified with a property tax identification number. This number will be found on your tax bill and on your property tax assessment notice. Enter this number in the space indicated. Submit a separate affidavit for each property being claimed. If you cannot find this number, call your township or city assessor. \Withoui^t^oiiritowhship. or.'-city cannot adjiistyotif' ' Lines 2-5: Enter the complete address of the property you are claiming. Check the appropriate box for the city or township. If you live in a village, list the township in which the homestead is located. Lines 6-10: Enter the name, social security number(s) and daytime phone number of the legal owner(s). Do not include information for a co-owner who does not occupy the homestead. The request for the Social Security number is authorized under section 42 USC 405 (c) (2) (C) (i). It is used by the Department of Treasury to verify tax exemption claims and to deter fraudulent filings. Any use of the number by closing agents or local units of government is illegal and subject to penalty. Part A - Rescind A parcel which qualified for homestead exemption and then the use was changed or it was sold must be rescinded. Completing this section will remove the exemption effective December 31 of the year in which the change occured. Lines 11 and 13: Check the box and enter the month, day and year of the rescind. Part A - Percent of Change If you own and live in a multiple-unit or multipurpose property (e.g. a duplex or apartment building, or a storefront with an upstairs flat), you can claim an exemption only for the portion that you use as your principal residence. Calculate your portion by dividing the floor area of your principal residence by the floor 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 homestead. A second resider.ee on the same property (e.g. a mobile home or second house), is not pan of your homestead 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 homestead. 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 homestead, by dividing the floor area of your principal residence by the floor area of the entire building. Lines 12 and 13: Enter the new percentage and the effective date of the change. Part B - Withdrawal An exemption was posted to the tax roll in error. Completing this section will remove the homestead exemption and you may be subject to additional property taxes. Line 16; Enter the first year the exemption was posted to the tax roll in error. Certification Lines 17-19: Sign and date the form. Enter your mailing address if it is different from the address on line 3. Mailing Your Form 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. Additional Forms or Questions? If you need forms please call 80Q-FORM-2-ME (367-6263). If you have questions call (517) 334-7076.