Vassar, MI · Tuscola County

Affidavit of Indigence

This affidavit lets an individual seeking City of Vassar public records request a waiver of the first $20 in fees by stating they receive public assistance or cannot pay due to indigency.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this affidavit when requesting a waiver of the first $20 in fees for a City of Vassar public-records request under FOIA. The requester must state that they receive public assistance or provide facts showing inability to pay due to indigency. If someone prepares the affidavit for another person, the attached Designated Requester form must also be completed; both forms include spaces for signatures sworn or affirmed before a notary.

Who needs it

An individual seeking Vassar public records who requests a waiver of the first $20 in fees due to public assistance or inability to pay due to indigency needs this affidavit.

Why it needs a notary

The form includes sworn-or-affirmed jurats for the applicant and, when applicable, designated requester; each signer must appear before a notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Download the Affidavit of Indigence and, if preparing it for another person, the attached Designated Requester form.

  2. 2

    Complete the Forms

    Enter the requested information and state whether you receive public assistance or the facts showing inability to pay.

  3. 3

    Book an Online Notary

    Schedule a remote notarization with a commissioned online notary.

  4. 4

    Sign on Video

    Sign each applicable affidavit in the online notary’s presence during the video session.

  5. 5

    Submit to the City

    Submit the completed form to the Vassar FOIA Coordinator by mail, fax, or email as listed on the form.

Preview the form

The blank PDF straight from Vassar. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I submit the completed affidavit?
The form lists submission to the City of Vassar FOIA Coordinator by mail, fax, or email. Check the city’s instructions if you need help confirming the preferred method.
Do I need to complete the Designated Requester form?
Complete the attached Designated Requester form only if you are preparing the Affidavit of Indigence for someone other than yourself.
Can I sign this affidavit with an online notary?
Michigan authorizes remote electronic notarization by its notaries. A commissioned online notary can notarize your signature during a video session; confirm with the city, village or township if unsure.
What information does the affidavit ask for?
It asks for request and contact details, the reason for seeking a fee waiver, and information about assistance, income, assets, or other facts showing indigency.

Ready to notarize your Affidavit of Indigence?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.