Bangor, MI · Van Buren County

No notary required

Poverty Exemption Application

Property owners seeking a poverty exemption for their principal residence use this application to provide household, income, asset, property, and expense information.

What this form is

This Michigan Department of Treasury application is used to request a property tax exemption for a principal residence when poverty makes the applicant unable to contribute toward public charges. Applicants must complete all sections, provide information about everyone in the household, and include the required documentation, including applicable income tax returns. The form also includes an affidavit for household members who were not required to file 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 documentation.

How to submit it

File the application with the Board of Review where the property is located; it may be submitted to the city or township where the property is located.

About notarization

This application is signed and dated without a notary; the accompanying affidavit requires the signer to swear and affirm its statements by signature.

How to submit this form

  1. 1

    Download The Application

    Download the Poverty Exemption Application and its included affidavit.

  2. 2

    Complete The Application

    Complete all sections, listing information for all members of the household and writing legibly.

  3. 3

    Gather Required Documents

    Attach the required documentation, including applicable federal and state income tax returns or the included affidavit when a resident was not required to file.

  4. 4

    Submit To The Board Of Review

    File the application with the Board of Review where the property is located; it may be submitted to the city or township.

Frequently asked questions

Do I need a notary for the Poverty Exemption Application?
No. The application is signed and dated without a notary. The accompanying affidavit asks the signer to swear and affirm its statements by signature.
How do I submit the Poverty Exemption Application?
File it with the Board of Review where the property is located. The form says it may be submitted to the city or township where the property is located.
What documents must accompany the application?
Include required documentation listed in the application. Federal and state income tax returns for household residents are required unless a resident was not required to file; the included affidavit covers that situation.
What information does the application ask for?
It asks for details about the applicant, property, household occupants, income, assets, debts, expenses, employment, and vehicles, as well as an acknowledgment of the local policy and guidelines.

Need something notarized?

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