Holly, MI · Oakland County
Request to Rescind Principal Residence Exemption
Property owners use this form to tell the local assessor they are rescinding or changing a Principal Residence Exemption for a property.
What this form is
Use this form when you no longer own or occupy a property as your principal residence, convert it to another use, or need to change the percentage claimed. It asks for the property tax identification number, owner details, reason and effective date for the change, and owner signatures. Complete a separate form for each property tax identification number.
Who needs it
An owner rescinding a Principal Residence Exemption or changing the claimed percentage must complete this form and submit it to the assessor.
How to submit it
Mail the completed form to the township or city 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 certifies the information under penalty of perjury and signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Request to Rescind Principal Residence Exemption form.
- 2
Complete the Form
Enter property and owner information, the reason for the change, its effective date, and the applicable owner signatures.
- 3
Prepare a Separate Form
Complete a separate form for each property tax identification number.
- 4
Mail It to the Assessor
Mail the completed form to the township or city assessor where the property is located, using the address on your tax bill or assessment notice.
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 certifies the information under penalty of perjury and signs and dates it.
- Who should file this form?
- An owner who no longer owns or occupies the property as a principal residence, has converted it to another use, or needs to change the claimed percentage should file it.
- How do I submit the form?
- Mail it to the township or city assessor where the property is located. The address may be on your latest tax bill or assessment notice; do not send it to the Department of Treasury.
- What information does the form ask for?
- It asks for the property tax identification number, property and owner information, the reason and effective date for rescinding or changing the exemption, and owner signatures.