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

No. The owner signs and dates the form under penalty of perjury. The document does not identify a notarized attachment or related step.

How do I submit the form?

Mail the completed form to the city or township assessor where the property is located. The address may appear on your latest tax bill or assessment notice; do not send it directly to the Department of Treasury.

What information does the form request?

It requests property and owner information, the reason for rescinding or changing the exemption, the effective date, and the owner's certification.

East Grand Rapids, MI · Kent 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 percentage of a property used as their principal residence.

What this form is

Use this form when you no longer own and occupy a property as your principal residence, or when you need to change the percentage claimed as your principal residence. It asks for property and owner information, the reason and effective date for the change, and an owner certification. The assessor completes a separate certification for local government use.

Who needs it

Owners who no longer own and occupy an exempt property as their principal residence, or need to change the exemption percentage, use this form.

How to submit it

Mail the completed form to the city or township assessor where the property is located; the address may be on your latest tax bill or assessment notice. Do not send it directly to the Department of Treasury.

About notarization

This document is signed without a notary; the owner signs and dates under penalty of perjury, and no notarized attachment or related step is identified.

How to submit this form

1
Download The Form
Download the Request to Rescind Principal Residence Exemption PDF.
2
Complete The Form
Enter the property and owner information, indicate the reason for the change, provide its effective date, and sign and date the owner certification.
3
Check The Mailing Address
Find the assessor's address on your most recent tax bill or assessment notice.
4
Mail The Form
Mail the completed form to the city or township assessor where the property is located. Do not mail it directly to the Department of Treasury.

Frequently asked questions

Do I need a notary for the Request to Rescind Principal Residence Exemption?: No. The owner signs and dates the form under penalty of perjury. The document does not identify a notarized attachment or related step.
Who should use this form?: Property owners use it when they no longer own and occupy a property as their principal residence or need to change the percentage claimed as their principal residence.
How do I submit the form?: Mail the completed form to the city or township assessor where the property is located. The address may appear on your latest tax bill or assessment notice; do not send it directly to the Department of Treasury.
What information does the form request?: It requests property and owner information, the reason for rescinding or changing the exemption, the effective date, and the owner's certification.

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.