Michigan Legal Help has tools to fill many kinds of forms but we do not cover all areas. You may have a blank form that you need to fill out on your own.Name (type or print) Signature of owner of premises or agent Date City, state, zip Telephone no. Following electronic service address: 3. 2. Typically, in section C of the form, you would list the statute that you are relying on to recover possession of the property. Form L-4260: Assessors use this affidavit to make sure that property is assessed properly and receives the correct taxable value.