Hart, MI · Oceana County
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.
What this form is
This affidavit accompanies 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 is for a resident who was not required to file federal or state income tax returns for the current and preceding tax years. The form asks for the principal 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 the current and preceding tax years completes this affidavit.
How to submit it
When completed, attach this affidavit to the taxpayer’s Application for Poverty Exemption filed 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, affirming they were not required to file federal or state income tax returns.
How to submit this form
- 1
Download the Affidavit
Download the Poverty Exemption Affidavit.
- 2
Complete the Form
Enter the principal residence address, then sign and date the affidavit.
- 3
Gather the Application
Attach the completed affidavit to the taxpayer’s Application for Poverty Exemption.
- 4
Submit to the Local Unit
File the application and affidavit 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 accompanies a taxpayer’s Application for Poverty Exemption and affirms that the signer was not required to file federal or state income tax returns for the current and preceding tax years.
- Who completes this 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 it.
- Do I need a notary for the Poverty Exemption Affidavit?
- No. The document has no notary block; the signer signs and dates it, affirming they were not required to file federal or state income tax returns.
- How do I submit the Poverty Exemption Affidavit?
- Attach the completed affidavit to the taxpayer’s Application for Poverty Exemption and file it with the supervisor or board of review of the local unit where the property is located.