Principal Residence Exemption (PRE) Active Duty Military Affidavit - Michigan Department of Treasury
Michigan Department of Treasury
4660 (Rev. 10-09)
Principal Residence Exemption (PRE) Active Duty Military Afdavit
Issued under authority of Public Act 206 of 1893.
Read the instructions before completing the form. This form must be led with the assessor for the city or township where the property
is located on or before May 1 of the rst year the exemption is being claimed. For 2008 only, the property owner may le this form on
or before December 31, 2008, to apply for this exemption. This afdavit may only be effective beginning with the 2008 tax year. Use a
separate form for each property tax identication number.
PART 1: PROPERTY INFORMATION
Property Tax Identication Number ZIP Code Beginning Tax Year (yyyy)
Street Address of Property County Name of Township or City
Township City
Owner’s First and Middle Names Owner’s Last Name Owner’s Social Security Number Owner’s Daytime Telephone Number
Co-Owner’s First and Middle Names Co-Owner’s Last Name Co-Owner’s Social Security Number Co-Owner’s Daytime Telephone Number
PART 2: REquIREMENTs (Attach a copy of your Active Duty Orders)
When was the owner(s) of the property called for active duty? (mm/dd/yyyy) Upon completion of active duty, will this property be your principal residence?
Yes No
Does anyone currently occupy/live in the home located on the property? Is the property currently rented or leased?
Yes No Yes No
Is the property used for any business or commercial purpose? Is the rentor / lessor using the property as a residence?
Yes No Yes No
PART 3: OwNER cERTIFIcATION
I (we) certify under penalty of perjury the information provided on this document is true and correct to the best of my (our) knowledge.
Owner’s Signature Date
Co-Owner’s Signature Date
Owner’s Current Mailing Address City State ZIP Code
Mail the completed form and necessary documentation to the assessor for the city or township in which the property is located. This
address may be on the most recent tax bill or assessment notice. Do not send this form directly to the Department of Treasury.
If you have any questions, visit our Web site at www.michigan.gov/PRE or call (517) 373-1950.
lOcAl gOvERNMENT usE ONlY – DO NOT wRITE bElOw ThIs lINE
What is the tax year this afdavit will take effect? (yyyy) What is the property classication?
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