Deferment of Summer Taxes Application

Michigan Department of Treasury
L-2358 (Rev. 7-92)
DEFERMENT OF SUMMER TAXES APPLICATION

^{Applicant's Name (Last, First, Initial)}
^{Property Code No.}	^{Social Security No.}

NOTE: This form is issued under authority of Section 211.51, M.C.L., as amended. Filing of this form is voluntary.
However, your tax due date will not be extended unless this form is filed.

INSTRUCTIONS: File this application with the treasurer of your city, village or township. You may file your intent
to defer until September 15, or until the date your summer taxes are due, whichever is later. DO
NOT FILE WITH THE STATE TREASURER'S OFFICE

^{Address of Taxpayer's Homestead}
^{Type of Municipality Where Homestead is Located} ^{[ ] City [ ] Village [ ] Township}	^{Name of City, Village or Township}

CHECK (1) OR (2) BELOW TO IDENTIFY BASIS FOR THIS APPLICATION
[ ] (1) I hereby request that the treasurer of the municipality where I reside defer until February 15, without penalty
                or interest, the due date of my summer taxes on my homestead identified above. I certify that my household
                income for the preceding calendar year did not exceed $25,000 and that I qualify for the deferment provided
                for in the General Property Tax Act under the classification marked below:

[ ] 62 years of age or older, including the unmarried surviving spouse of a person who was 62 years of
age or older at the time of death.
[ ] Paraplegic, Quadriplegic
[ ] Eligible Serviceperson, Eligible Veteran, Eligible Widow or Widower
[ ] Blind Person
[ ] Totally and Permanently Disabled

[ ] (2) I certify that I own the above property, which is classified or used as agricultural real property, and the gross
receipts of agricultural or horticultural operations in the previous year (or the average gross receipts for such
operations in the previous three years) is not less than my household income for the preceding calendar year.

Applicant's Signature: I understand that misleading or false statements on this application may subject me to penalties and interest for late payment of taxes.
^Signature	^Date

FOR CITY, VILLAGE OR TOWNSHIP USE ONLY:

^{Deferment Approval Signature}

^Date

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