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Application form

Land Division Tax Certification Form

Fill in this form below, then print it. Your answers are written onto the township’s original form, ready to sign by hand and mail or drop off. They stay on your device; nothing is sent until you hand in the form.

Contents (3)

Office of the Midland County Treasurer

Midland County Services Building 220 W. Ellsworth Street Midland, Michigan 48640-5194

Phone (989) 832-6850 Fax (989) 837-6575

E-mail clunsford@co.midland.mi.us

Catherine L. Lunsford, County Treasurer

Ann M. Mahaffy, Chief Deputy Treasurer

Land Division Tax Certification

Pursuant to the Land Division Act 288 of 1967, MCL 560.109(1)(i), this certificate certifies that current and the preceding years of taxes on this date, ___/___/_____ have been paid for the following parcel(s):

City/Township/Village Treasurer Certification

Sec. 135 Act 206, 1893 as Amended – (Sec. C.L. 1929)

I hereby certify that, pending subsequent decisions by the Board of Review, the Michigan Department of Treasury, the Michigan Tax Tribunal, or the State Tax Commission, current year's taxes issued to date have been paid:

Date: ___/___/_____ Summer Bill: ___/___/_____ Winter Bill: ___/___/_____ Signature / Initials: Name & Title:

Midland County Treasurer Certification

Sec. 135 Act 206, 1893 as Amended – (Sec. C.L. 1929)

I hereby certify that I have examined the records in my office relating to the land described in the within instrument and from such examination it appears that there are no tax liens or titles held by the State of Michigan or by any individual against such piece or description of land and all taxes due thereon have been paid for the five years next preceding the date such instrument.

Date: ___/___/_____ Signature / Initials: Name & Title:

Statutory Fee of $5.00___ collected: Check: ________ Cash: ________ Credit/debit card:

Acct # 101-253-626-014 retain copy for County Treasurer

Done? Print the completed form, sign it, and hand it in.