Hartford, MI · Van Buren County

No notary required

Application and Affirmation for MCL 211.7u Poverty Exemption

Hartford property owners apply to the Board of Review for a poverty exemption on their principal residence using this application.

What this form is

This application is used to request a property tax exemption for a principal residence when poverty prevents the owner from contributing toward public charges. It must be filed with the Board of Review where the property is located. The form asks about household members, income, assets, property, expenses, and eligibility, and requires supporting documentation, including certain income tax returns.

Who needs it

A property owner seeking a poverty exemption for their principal residence should complete this application and provide information about all household members.

How to submit it

File the completed application with the Board of Review where the property is located. The form says to include all required documentation listed in the application.

About notarization

This application is signed and dated without a notary; the signer must also submit required income tax returns when applicable.

How to submit this form

  1. 1

    Download The Application

    Download the four-page poverty exemption application.

  2. 2

    Complete All Sections

    Fill in the required information for the applicant and all household members, and sign and date the certification.

  3. 3

    Gather Required Documents

    Include all required documentation listed in the application, including applicable federal and state income tax returns.

  4. 4

    File With The Board Of Review

    File the completed application and documentation 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 application requires a signature and date, not notarization. Required income tax returns must also be submitted when applicable.
Who can use this poverty exemption application?
A property owner seeking an exemption for a principal residence may use it to apply to the Board of Review where the property is located.
What information and documents does the application ask for?
It asks about property, household members, income, assets, expenses, and eligibility. Include all required documentation listed in the application, including certain income tax returns.
How do I submit the poverty exemption application?
Complete the application and file it with the Board of Review where the property is located, including all required documentation listed in the application.

Need something notarized?

This Application and Affirmation for MCL 211.7u Poverty Exemption doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.