Ithaca, MI · Gratiot County
Conditional Rescission of Principal Residence Exemption
Property owners use this form to request or annually verify a conditional rescission of the PRE on a former principal residence.
At a glance
- Issued by
- City of Ithaca · Ithaca, Gratiot County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- ithacami.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Form 4640 lets an owner who established a new principal residence request or verify a conditional rescission of the PRE on a former home. The form says the former property must be unoccupied, for sale, not leased, and not used for business or commercial purposes. It asks for property and owner details, current residence information, signatures, and supporting documents.
Who needs it
Owners seeking to retain a PRE on a former principal residence while claiming one on their current property must file this form and meet the listed conditions.
How to submit it
Mail completed Parts 1 through 4 and the necessary documentation to the assessor for the city or township where the property is located. The assessor’s address may appear on the most recent tax bill or assessment notice.
About notarization
This form is signed without a notary; the owner certifies the information under penalty of perjury, then signs and dates the form.
How to submit this form
- 1
Download The Form
Download Form 4640 and read its instructions before completing it.
- 2
Complete The Form
Fill in Parts 1 through 4, including the conditional rescission type, property details, current residence information, and owner certification.
- 3
Gather Attachments
Attach a current tax bill and PRE Affidavit (Form 2368) for the current principal residence, along with necessary documentation.
- 4
Mail It To The Assessor
Mail Parts 1 through 4 and the documentation to the assessor for the city or township where the property is located.
Frequently asked questions
- What does Form 4640 do?
- Form 4640 lets an owner request or annually verify a conditional rescission of the PRE on a former principal residence while claiming a PRE on a current Michigan property.
- Do I need a notary for the Conditional Rescission of Principal Residence Exemption?
- No. The owner signs and dates the form and certifies the information under penalty of perjury; the form does not require notarization.
- How do I submit Form 4640?
- Mail completed Parts 1 through 4 and necessary documentation to the assessor for the city or township where the property is located. The assessor’s address may be on a recent tax bill or assessment notice.
- What documents must accompany Form 4640?
- Attach a current tax bill and PRE Affidavit (Form 2368) for the current principal residence. The form also says to include necessary documentation when mailing it to the assessor.