Whitehall, MI · Muskegon County
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 Whitehall · Whitehall, Muskegon County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- cityofwhitehall.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The affidavit states that the signer lives in the principal residence covered by a Poverty Exemption Application and was not required to file federal or state income tax returns for the current and preceding tax years. The form says it must accompany the application filed with the supervisor or board of review of the local unit where the property is located. It requests 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 either specified tax year completes this affidavit.
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; it asks the signer to swear and affirm the statements by signing and dating the affidavit.
How to submit this form
- 1
Download The Affidavit
Download the Poverty Exemption Affidavit PDF.
- 2
Complete The Affidavit
Enter the principal residence address, then sign and date the affidavit.
- 3
Gather Required Documents
The form says this affidavit is for residents not required to file income tax returns; submit it with the Poverty Exemption Application.
- 4
Submit To The Local Unit
File the affidavit with the application to the supervisor or board of review of the local unit where the property is located.
Frequently asked questions
- Who completes the Poverty Exemption 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 completes the affidavit.
- What information does the affidavit ask for?
- It asks for the address of the principal residence, the signature of the person making the affidavit, and the date.
- Do I need a notary for the Poverty Exemption Affidavit?
- No. The affidavit has no notary block; the signer swears and affirms the statements by signing and dating 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.