Portland, MI · Ionia County

No notary required

Poverty Exemption Affidavit

This affidavit is completed by a resident who was not required to file income tax returns and submits it with a Poverty Exemption Application.

At a glance

Issued by
City of Portland · Portland, Ionia County, Michigan
Notarization
Not required: file this form without a notary.
Official source
portland-michigan.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The affidavit supports a Poverty Exemption Application for a principal residence by stating that the signer was not required to file federal or state income tax returns for the current and preceding tax years. The form asks for the residence address, the signer’s signature, and the date, and must accompany the application filed with the supervisor or board of review for the local unit where the property is located.

Who needs it

A resident applying for a Poverty Exemption who was not required to file income tax returns for the current or preceding tax year uses 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 signature, and the form does not identify a notarized attachment.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Poverty Exemption Affidavit.

  2. 2

    Complete The Form

    Enter the principal residence address, then sign and date the affidavit.

  3. 3

    Gather Supporting Documents

    The form instructions describe income tax return copies or an affidavit for residents who were not required to file.

  4. 4

    Submit With The Application

    Submit the affidavit with the Poverty Exemption Application to 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 supports a Poverty Exemption Application for a principal residence by stating that the signer was not required to file federal or state income tax returns for the current and preceding tax years.
Who should complete this affidavit?
A resident applying for a Poverty Exemption who was not required to file income tax returns for the current or preceding tax year should complete 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 signature. The form does not identify a notarized attachment.
How do I submit the Poverty Exemption Affidavit?
Submit it with the Poverty Exemption Application to 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.