Do I need a notary for the Request to Rescind Principal Residence Exemption?

No. The form has no notary block. The owner signs and dates it and certifies under penalty of perjury that the information is true and correct.

How do I submit the rescission form?

Mail the completed form to the assessor for the city or township where the property is located. Find the address on your most recent tax bill or assessment notice; do not mail it to the Department of Treasury.

When should I use this form?

Use it when you no longer own and occupy the property as your principal residence, convert it to rental or commercial property, or need to report a change in the portion used as your principal residence.

What information does the form ask for?

It asks for the property tax identification number, property and owner details, the reason and effective date for rescinding or changing the exemption, and owner signatures.

Portland, MI · Ionia County

No notary required

Request to Rescind Principal Residence Exemption

Property owners use this form to rescind a Principal Residence Exemption or report a change in the portion of a property used as their principal residence.

At a glance

Issued by: City of Portland · Portland, Ionia County, Michigan
Notarization: Not required: file this form without a notary.
Official source: portland-michigan.org
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form when you no longer own and occupy a property as your principal residence, convert it to rental or commercial use, or need to change the claimed percentage. It asks for property and owner information, the reason and effective date for the change, and owner signatures. The local assessor processes the request and removes or adjusts the exemption.

Who needs it

An owner rescinding a Principal Residence Exemption, including because of a sale, changed occupancy, conversion to another use, or a changed residence percentage.

How to submit it

Mail the completed form to the township or city assessor where the property is located. Find the assessor’s address on your most recent tax bill or assessment notice; do not send the form directly to the Department of Treasury.

About notarization

This form has no notary block; the owner signs and dates it, certifying under penalty of perjury that the information is true and correct.

How to submit this form

1
Download the Form
Download the Request to Rescind Principal Residence Exemption form.
2
Complete the Form
Enter the property and owner information, select the reason for the change, and provide the effective date and required signatures.
3
Check Your Property Information
Use your tax bill or assessment notice to find the property tax identification number and the assessor’s mailing address.
4
Mail It to the Assessor
Mail the completed form to the city or township assessor where the property is located. Do not send it to the Department of Treasury.

Frequently asked questions

Do I need a notary for the Request to Rescind Principal Residence Exemption?: No. The form has no notary block. The owner signs and dates it and certifies under penalty of perjury that the information is true and correct.
How do I submit the rescission form?: Mail the completed form to the assessor for the city or township where the property is located. Find the address on your most recent tax bill or assessment notice; do not mail it to the Department of Treasury.
When should I use this form?: Use it when you no longer own and occupy the property as your principal residence, convert it to rental or commercial property, or need to report a change in the portion used as your principal residence.
What information does the form ask for?: It asks for the property tax identification number, property and owner details, the reason and effective date for rescinding or changing the exemption, and owner signatures.

Need something notarized?

This Request to Rescind Principal Residence Exemption doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.