Eaton Rapids, MI · Eaton County
Poverty Exemption Affidavit
Residents who were not required to file income tax returns complete this affidavit to support an Application for Poverty Exemption for their principal residence.
What this form is
This affidavit accompanies a taxpayer’s Application for Poverty Exemption filed with the supervisor or board of review for the local unit where the property is located. It asks the signer to affirm that they live at the principal residence and were not required to file federal or state income tax returns for the current and preceding tax years. The form includes fields for the residence address, signature, and date.
Who needs it
A resident applying for a poverty exemption who was not required to file federal or state income tax returns for the current and preceding tax years needs this affidavit.
How to submit it
File this affidavit with the taxpayer’s Application for Poverty Exemption with the supervisor or board of review of the local unit where the property is located.
About notarization
This document is signed without a notary; the signer swears and affirms the statement by signing and dating it.
How to submit this form
- 1
Download the Affidavit
Download the Poverty Exemption Affidavit form.
- 2
Complete the Form
Enter the principal residence address and sign and date the affidavit.
- 3
Gather Supporting Documents
Include the affidavit with your Application for Poverty Exemption.
- 4
Submit to the Local Unit
File the application and affidavit with the supervisor or board of review where the property is located.
Frequently asked questions
- Do I need a notary for the Poverty Exemption Affidavit?
- No. The form has no notary block; the signer swears and affirms the statement by signing and dating it.
- Who should complete this affidavit?
- A resident applying for a poverty exemption who was not required to file federal or state income tax returns for the current and preceding tax years should complete it.
- How do I submit the Poverty Exemption Affidavit?
- File it with your Application for Poverty Exemption with the supervisor or board of review of the local unit where the property is located.