Memphis, MI · Macomb 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 Memphis · Memphis, Macomb County, Michigan
Notarization
Not required: file this form without a notary.
Official source
cityofmemphismi.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This form lets an owner rescind a Principal Residence Exemption when they no longer own or occupy a property as their principal residence, or when the property is converted to rental or commercial use. It also allows owners to report a change in the percentage of the property they occupy. The form asks for property and owner details, the reason and effective date of the change, and owner certification.

Who needs it

Property owners who no longer qualify for an exemption or need to report a change in their principal-residence use should file one form for each property.

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 most recent 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 certifies the information under penalty of perjury and signs and dates the form.

How to submit this form

  1. 1

    Download the Form

    Download the Request to Rescind Principal Residence Exemption form.

  2. 2

    Complete the Form

    Provide the property and owner information, reason for rescission, effective date, and required owner signatures.

  3. 3

    Gather Property Details

    Use a separate form for each property tax identification number; find the number on your tax bill or assessment notice.

  4. 4

    Mail to the Assessor

    Mail the completed form to the assessor where the property is located. Do not send it directly to the Department of Treasury.

Frequently asked questions

What does the PRE rescission form do?
It lets a property owner rescind a Principal Residence Exemption or report a change in the percentage of the property used as their principal residence.
Who should file this form?
Owners who no longer own or occupy the property as their principal residence, or who have converted it to rental or commercial property, should file it.
Do I need a notary for the PRE rescission form?
No. The owner signs and dates the form and certifies the information under penalty of perjury; the document does not include a notary block.
How do I submit the PRE rescission form?
Mail it 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.

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.