Montague, MI · Muskegon County

No notary required

Poverty Exemption Affidavit

This affidavit is for residents who were not required to file income tax returns and submit it with a Poverty Exemption Application.

At a glance

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

What this form is

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

Who needs it

A resident who was not required to file federal or state income tax returns for the current and preceding tax years may submit this affidavit with a Poverty Exemption Application.

How to submit it

Submit the completed 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 document is signed without a notary; the signer signs and dates the affidavit.

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 and sign and date the statement.

  3. 3

    Gather The Application

    Include the affidavit with the taxpayer’s Poverty Exemption Application.

  4. 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 affidavit has a signature and date line but no notary block; the signer signs and dates it.
Who should complete this affidavit?
A resident of the principal residence who was not required to file federal or state income tax returns for the current and preceding tax years may complete it.
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.
What information does the affidavit ask for?
It asks for the address of the principal residence and the signer’s signature and date, affirming that the signer was not required to file federal or state income tax returns for the specified years.

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.