Grand Haven, MI · Ottawa County
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.
What this form is
This affidavit documents 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. The form says it must accompany a taxpayer’s Poverty Exemption Application filed with the supervisor or board of review of the local unit where the property is located.
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
File the completed affidavit with the supervisor or board of review of the local unit where the property is located, accompanying the Poverty Exemption Application.
About notarization
This document is signed without a notary; the signer swears and affirms the statements by signing and dating the affidavit.
How to submit this form
- 1
Download the Affidavit
Download the Poverty Exemption Affidavit.
- 2
Complete the Form
Provide the principal residence address and complete the affidavit's signature and date fields.
- 3
Gather the Application
Prepare the Poverty Exemption Application that this affidavit must accompany.
- 4
File with the Local Unit
File the affidavit and application with the supervisor or board of review of the local unit where the property is located.
Frequently asked questions
- Who should complete the Poverty Exemption 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.
- Do I need a notary for the Poverty Exemption Affidavit?
- No. The form has no notary block; the signer swears and affirms the statements by signing and dating the affidavit.
- How do I submit the Poverty Exemption Affidavit?
- File it with the supervisor or board of review of the local unit where the property is located, along with the Poverty Exemption Application.
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.