Rush Notary

Fremont, MI · Newaygo County

No notary required

Poverty Exemption Affidavit

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

At a glance

Issued by
City of Fremont · Fremont, Newaygo County, Michigan
Notarization
Not required: file this form without a notary.
Official source
cityoffremont.net
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 at the principal residence named in a Poverty Exemption Application and was not required to file federal or state income tax returns for the current and preceding tax years. It must accompany the application filed with the supervisor or board of review for the local unit where the property is located. The form 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 uses this affidavit with a Poverty Exemption Application.

How to submit it

Complete the affidavit and file it with the Poverty Exemption Application with the supervisor or board of review of the local unit where the property is located.

About notarization

This document has no notary block; the signer signs and dates it while affirming the stated information, and no notarized attachment or related step is identified.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Poverty Exemption Affidavit PDF.

  2. 2

    Complete The Form

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

  3. 3

    Gather Application Materials

    Include this affidavit with the Poverty Exemption Application.

  4. 4

    File With The Local Unit

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

Frequently asked questions

What is the Poverty Exemption Affidavit for?
It affirms that the signer lives at the principal residence on the application and was not required to file federal or state income tax returns for the current and preceding tax years.
Who uses this affidavit?
A resident who was not required to file federal or state income tax returns for the current and preceding tax years completes it to accompany a Poverty Exemption Application.
Do I need a notary for the Poverty Exemption Affidavit?
No. The document has no notary block; the signer signs and dates it while affirming the stated information. No notarized attachment or related step is identified.
How do I submit the Poverty Exemption Affidavit?
File the completed affidavit 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.