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Michigan Department of Treasury
3966 (Rev. 06-22)
2023 Taxpayer Report of Personal Property "Move-Ins" of Used Equipment
(As of 12-31-22) Occurring During 2022
Issued under authority of Public Act 206 of 1893 (General Property Tax Act).
Owner's Name Doing Business As
Mailing Address (Street or RR#, City, State, ZIP Code) Business Location (Street or RR#, City, State, ZIP Code)
Name of Person to Contact Telephone Number Parcel Number
Do not report move-ins of NEW equipment on this form. Report in the appropriate sections below the acquisition cost and year-new of "Move-Ins" of
USED equipment. These costs must also be reported in the appropriate Section of Form 632 (L-4175), Personal Property Statement. See the
instructions to Form 632 (L-4175) for guidance in determining the correct Section for reporting the costs. It is not necessary to include on this report any
property reported on Sections G, H, I or M of Form 632 (L-4175). "Move-Ins" are items of assessable personal property that were not assessed in this
jurisdiction (city or township) in 2022, including: acquisitions of previously used personal property (which should be reported in the year the property was
new and at the cost when new); used personal property you have moved in from a location outside this jurisdiction; personal property that was exempt in
2022 (such as exempt Industrial Facilities Tax property); and, personal property that you mistakenly omitted from your statement in 2022.
"Move-Ins" DO NOT INCLUDE property that you have moved from another location WITHIN this city or township or that was assessed in this jurisdiction
to another taxpayer in 2022 (for example, property reported to this jurisdiction by a previous owner or previously leased property reported to this
jurisdiction by the lessor).
Section A - Including Section B - Including Section C - Including Section E - Including
Furniture and Fixtures Machinery and Fixtures Rental Videotapes Consumer Coin
and Games Operated Equipment
2022 2022
2022
2021 2021 2022
2021
2020 2020 2021
2020 2020
2019 2019
2019
2018 2018 2019
Prior
2017 2017 2018
0
Totals 2017
2016 2016
2015 2015 Section D - Including 2016
Office, Electronic, Video 2015
2014 2014 and Testing Equipment
2014
2013 2013
2022
2012 2012 2013
2021
2011 2011 2012
2020
Prior
2010 2010
2019 Totals 0
2009 2009
2018
2008 2008
2017 Section F - Including
Computer
Prior Prior
2016 Equipment
Totals 0 Totals 0
2015 2022
NOTE: This form must be signed by an owner, partner, corporate officer or 2014 2021
duly authorized representative.
2013 2020
CERTIFICATION
I hereby attest that, to the best of my knowledge and belief, all of the 2012 2019
property listed on this form is a "move-in" for this jurisdiction as that term
is defined in the instructions herein. 2011 2018
Signature 2010 2017
2009 2016
Name (Print or Type) Date
2008 Prior
Title (Print or Type) Prior Totals 0
Totals 0