Grand Haven, MI · Ottawa County

No notary required

Application and Affirmation for Poverty Exemption

This application lets a principal-residence property owner request a poverty exemption and submit household, income, asset, and expense information to the local Board of Review.

What this form is

Use this application to request a property tax exemption for a principal residence based on poverty. File it with the Board of Review where the property is located, following the filing period stated on the form. The application asks for property and household details, income, assets, debts, expenses, and a signed certification; it also requires applicable federal and state income tax returns.

Who needs it

A property owner seeking a poverty exemption for their principal residence should complete this application and provide the required household information and documents.

How to submit it

File the completed application with the Board of Review where the property is located. The form says to include required documentation, including applicable federal and state income tax returns.

About notarization

This application is signed and dated without a notary; the form requires applicable federal and state income tax returns but does not say they must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Application and Affirmation for Poverty Exemption PDF.

  2. 2

    Complete The Application

    Fill in all sections, including information for everyone residing in the household, and sign and date the certification.

  3. 3

    Gather Required Documents

    Include applicable federal and state income tax returns. Be prepared to provide ownership evidence at the Board of Review meeting.

  4. 4

    File With The Board Of Review

    File the completed application with the Board of Review where the property is located.

Frequently asked questions

Do I need a notary for the Poverty Exemption Application?
No. The form is signed and dated without a notary. It requires applicable federal and state income tax returns but does not say they must be notarized or sworn.
How do I submit the Poverty Exemption Application?
File the completed application with the Board of Review where the property is located and include the required documentation, including applicable federal and state income tax returns.
What information does the application ask for?
It asks about the property, household members, income, savings and investments, insurance, vehicles, debts, and monthly expenses.
What supporting documents does the form identify?
The form requires applicable federal and state income tax returns. It also says applicants should be prepared to provide a deed, land contract, or other ownership evidence at the Board of Review meeting.

Need something notarized?

This Application and Affirmation for Poverty Exemption doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.