Onaway, MI · Presque Isle County

No notary required

City, Village, and Township Revenue Sharing and County Incentive Program Certification

This certification is completed by a local unit applying for revenue-sharing or county incentive payments and confirms required public reports and public safety commitments.

What this form is

The form certifies that the local unit produced a Debt Service Report and a Projected Budget Report, made them available to the public, and will use designated public safety payments only for local public safety initiatives. The completed certification and both reports must be submitted to the Michigan Department of Treasury to qualify for payments. It asks for local unit and contact details, certification statements, and an authorized officer’s signature and date.

Who needs it

A local unit applying for City, Village, and Township Revenue Sharing or County Incentive Program payments completes and submits this certification.

How to submit it

Email the completed, signed form and required attachments to [email protected]. If email submission is not possible, fax them to 517-335-3298 or mail them to the Michigan Department of Treasury Revenue Sharing and Grants Division, PO Box 30722, Lansing MI 48909.

About notarization

This document is signed and dated without a notary; the signer also attaches the required Debt Service Report and Projected Budget Report.

How to submit this form

  1. 1

    Download The Certification

    Download the certification form and review its requirements for local unit information, reports, and certification.

  2. 2

    Complete The Form

    Fill in the local unit and contact information, complete the certification, and have the chief administrative officer sign and date it.

  3. 3

    Gather Required Reports

    Attach the Debt Service Report and Projected Budget Report to the signed certification.

  4. 4

    Submit To The Treasury

    Email the form and attachments to [email protected], or use the fax or mailing details on the form.

Frequently asked questions

What is the Revenue Sharing Certification for?
It certifies required public reports, public access information, and the use of designated public safety payments for local public safety initiatives.
Who completes this certification?
The form is for a local unit applying for City, Village, and Township Revenue Sharing or County Incentive Program payments. An authorized chief administrative officer signs it.
How do I submit the certification?
Email the signed form and required reports to [email protected]. If email submission is not possible, fax or mail them to the Treasury addresses listed on the form.
Do I need a notary for the Revenue Sharing Certification?
No. The signer signs and dates this form without a notary, and attaches the required Debt Service Report and Projected Budget Report.

Need something notarized?

This City, Village, and Township Revenue Sharing and County Incentive Program Certification doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.