Bloomfield Hills, MI · Oakland County

No notary required

Conditional Rescission of Principal Residence Exemption

Property owners file this form with the local assessor to request or annually verify a conditional rescission of a principal residence exemption.

What this form is

This form lets an owner who has established a new principal residence request to retain an exemption on a previously exempt home, or annually verify continued eligibility. The prior property must be unoccupied, for sale, not leased, and not used for business or commercial purposes. The form asks about both properties, ownership, occupancy, and sale or lease status; attach a current tax bill and PRE Affidavit for the current residence.

Who needs it

Owners seeking to retain an exemption on a former principal residence, or verify it annually, submit a separate form for each property tax identification number.

How to submit it

Mail completed Parts 1 through 4 and the required 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 and dated without a notary; the owner certifies under penalty of perjury and attaches a current tax bill and PRE Affidavit.

How to submit this form

  1. 1

    Download The Form

    Download the Conditional Rescission of Principal Residence Exemption form and read its instructions before completing it.

  2. 2

    Complete Parts 1 Through 4

    Provide the applicable tax year, property and owner information, current residence details, and owner certification.

  3. 3

    Gather Required Attachments

    Attach a current tax bill and PRE Affidavit (Form 2368) for the current principal residence.

  4. 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 the Conditional Rescission of Principal Residence Exemption form do?
It lets an owner who has established a new principal residence request to retain an exemption on a previously exempt property, subject to the form’s conditions.
What documents must I attach?
Attach a copy of a current tax bill and the PRE Affidavit (Form 2368) for the current principal residence.
Do I need a notary for the Conditional Rescission of Principal Residence Exemption form?
No. The form is signed and dated without a notary. The owner certifies under penalty of perjury and attaches a current tax bill and PRE Affidavit.
How do I submit the Conditional Rescission of Principal Residence Exemption form?
Mail completed Parts 1 through 4 and the required documentation to the assessor for the city or township where the property is located. The assessor’s address may be on your latest tax bill or assessment notice.

Need something notarized?

This Conditional Rescission of Principal Residence Exemption doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.