Michigan Department of Treasury 3865 (Rev. State Share of ...

Reset Form

Michigan Department of

Treasury 3865 (Rev. 11-15)

State Share of Specific Local

Taxes Return

Use this form only for payment of taxes listed at the right. Do not use for any

other tax or fee.

Municipality Name

Tax Year to apply payment to

County

Contact Name

E-mail Address

Telephone Number

Date

Mail to: Michigan Department of Treasury, PO Box 30760, Lansing, MI 48909-8260.

Make checks payable to ¡°State of Michigan.¡±

1. Industrial Facilities Tax (IFT)....

1.

2. Obsolete Property

Rehabilitation Act (OPRA)........

2.

3. Neighborhood Enterprise

Zone (NEZ)...............................

3.

4. Commercial Facility Tax (CFT)..

4.

5. Commercial Rehabilitation

Tax (CRT).................................

5.

6. Eligible Tax Reverted Property

Tax (ETRPT/Land Bank Tax)....

6.

7. TOTAL PAYMENT....................

7.

1. Industrial Facilities Tax (IFT).....

1.

2. Obsolete Property

Rehabilitation Act (OPRA)........

2.

3. Neighborhood Enterprise

Zone (NEZ)...............................

3.

4. Commercial Facility Tax (CFT)..

4.

5. Commercial Rehabilitation

Tax (CRT).................................

5.

6. Eligible Tax Reverted Property

Tax (ETRPT/Land Bank Tax)....

6.

7. TOTAL PAYMENT....................

7.

1. Industrial Facilities Tax (IFT).....

1.

2. Obsolete Property

Rehabilitation Act (OPRA)........

2.

3. Neighborhood Enterprise

Zone (NEZ)...............................

3.

4. Commercial Facility Tax (CFT)..

4.

5. Commercial Rehabilitation

Tax (CRT).................................

5.

6. Eligible Tax Reverted Property

Tax (ETRPT/Land Bank Tax)....

6.

7. TOTAL PAYMENT....................

7.

Michigan Department of

Treasury 3865 (Rev. 11-15)

State Share of Specific Local

Taxes Return

Use this form only for payment of taxes listed at the right. Do not use for any

other tax or fee.

Municipality Name

Tax Year to apply payment to

County

Contact Name

E-mail Address

Telephone Number

Date

Mail to: Michigan Department of Treasury, PO Box 30760, Lansing, MI 48909-8260.

Make checks payable to ¡°State of Michigan.¡±

Michigan Department of

Treasury 3865 (Rev. 11-15)

State Share of Specific Local

Taxes Return

Use this form only for payment of taxes listed at the right. Do not use for any

other tax or fee.

Municipality Name

Tax Year to apply payment to

County

Contact Name

E-mail Address

Telephone Number

Date

Mail to: Michigan Department of Treasury, PO Box 30760, Lansing, MI 48909-8260.

Make checks payable to ¡°State of Michigan.¡±

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download