Beaverton, MI · Gladwin County

No notary required

Poverty Exemption Affidavit

This affidavit is completed by a resident who was not required to file tax returns and accompanies a Poverty Exemption Application for a principal residence.

What this form is

This affidavit provides proof of eligibility for a Poverty Exemption when a resident was not required to file federal or state income tax returns for the current or preceding tax year. It accompanies the taxpayer’s Poverty Exemption Application filed with the supervisor or board of review for the local unit where the property is located. The form asks for the principal residence address and the signer’s 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 or preceding tax year completes this affidavit.

How to submit it

Submit this affidavit with the Poverty Exemption Application to the supervisor or board of review of the local unit where the property is located.

About notarization

This affidavit is signed without a notary; the signer swears and affirms by signing and dating it.

How to submit this form

  1. 1

    Download the Affidavit

    Download the Poverty Exemption Affidavit.

  2. 2

    Complete the Affidavit

    Enter the principal residence address, then sign and date the form to affirm that you were not required to file the specified income tax returns.

  3. 3

    Gather Supporting Documents

    Complete the Poverty Exemption Application that this affidavit must accompany.

  4. 4

    Submit to the Local Unit

    File the affidavit with the application with the supervisor or board of review of the local unit where the property is located.

Frequently asked questions

What is the Poverty Exemption Affidavit for?
It provides proof of eligibility for a Poverty Exemption when a resident was not required to file federal or state income tax returns for the current or preceding tax year.
Who completes this affidavit?
A resident of the principal residence who was not required to file federal or state income tax returns for the current or preceding tax year completes and signs it.
Do I need a notary for the Poverty Exemption Affidavit?
No. The affidavit is signed without a notary; the signer swears and affirms by signing and dating it.
How do I submit the Poverty Exemption Affidavit?
File it with the Poverty Exemption Application with the supervisor or board of review of the local unit where the property is located.

Need something notarized?

This Poverty Exemption Affidavit doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.