Submit a completed and signed copy of the following: -2006 Michigan Homestead Property Tax Credit Claim (MI 1040 CR). -2006 Federal income Tax Return (1040), if you are required to file federal income tax. -2006 Federal Income Tax Return (1040) for all other occupants of your home. -Income verification -Copy of driver license -Copy of deed If an occupant of your home is not employed but has income from another source, you must show the income on your application. The application must be legible. If you need to provide additional information, please attach a separate sheet do not write in the margins of the application. Do not submit originals of supporting documentation as they cannot return them. If the application is incomplete or you do not include copies of the required financial documents, it may be considered ineligible for a poverty exemption.
RETURN THE APPLICATION AND REQUIRED DOCUMENTATION AS SOON AS POSSIBLE TO ALLOW TIME FOR IT TO BE REVIEWED BEFORE IT IS SUBMITTED TO THE 2007 MARCH OR SEPTEMBER BOARD OF REVIEW . CHECK WITH YOUR TAXING AUTHORITY OR ASSESSOR TO FIND OUT WHEN HARDSHIP EXEMPTIONS ARE REVIEWED.
4. Do you meet the federal poverty income standards as defined and determined annually by the United States Office of Management and Budget. YES or NO
5. State Equalized Value of property for which the exemption is requested is ___________________. The average true cash value of all homestead properties in the city, based on the previous year’s values is 103,468(TCV) and 51,734 (AV). 6. Phone ( ) ______________________________________________ 7. Marital Status: ___________________________________________ 8. Age of Applicant: _________________________________________ Age of Spouse: ____________________________________________ 9. Number of Dependents ______________________________________ Age of Dependents _________________________________________ 10. Have you applied for a Principal Residence Exemption from some school operating expense (18 mills). YES or NO 11. Have you applied for Homestead Property Tax Credit this Year? YES or NO 12. How much was your Property Tax Credit? ____________________ 13. Real Estate: Is home paid for _____ Unpaid balance _______ Name of Mortgage Company __________________________________ Monthly Payment ___________________________________________ 14. How long have you lived at this residence? _______________ 15. Do you own, or are you buying other property? _____________ If so, list below: PROPERTY ADDRESS NAME OF OWNER ASSESSED VALUE AMOUNT & DATE OF LAST TAXES PAID
HOMESTEAD POVERTY APPLICATION I _________________________________, the owner and occupant of the property listed below, am applying for tax relief under MCL 211.7u of the General Property Tax Act, which states that the homestead of persons who, in the judgment of the Assessor and the Board of Review, by reason of poverty, are unable to contribute to the public charges is eligible for exemption in whole or part from taxation under Public Act 390, 1994. Parcel Number: _________________________________________________ Property Address: ______________________________________________ 1. Attached federal and state income tax return for all persons residing in the homestead, including any property tax credit returns filed in the immediately preceding year or in the current year. YES or NO 2. Attached copy of valid drivers license. YES or NO 3. Attached copy of deed, land contract, or other evidence of ownership of the property for which the exemption is requested. YES or NO
16. Income earned from above property _________________________ 17. Name of Employer___________________________________________ Address____________________________________________________ Phone: ( )________________________________________________ 18. If unemployed, state reason: _____________________________ ____________________________________________________________________ __ ____________________________________________________________________ __ 19. List all household income including government pensions, claims, judgments from lawsuits, and any other source. Be sure to include both spouses' income. If your household income is more than the Federal Poverty Income Standards (attachment A), you are not eligible for a credit. SOURCE OF INCOME ANNUAL INCOME Wages, salaries tips, sick, strike and sub pay, etc. All interest and dividend income (including non-taxable interest). Net rent, business or royalty income. Retirement pension and annuity benefits. Name of payer: Net farm income. Capital gains less capital losses. Alimony and other taxable income. Describe: Social Security, SSI or railroad retirement benefits. Child support. Unemployment comp. and TRA benefits. Other non-taxable income. Describe: Workers' comp., veterans' disability compensation and pension benefits. ADC and other DSS benefits. TOTAL INCOME 20. SAVINGS AND INVESTMENTS: List all savings owned by you or your spouse, including savings accounts, postal savings, credit union shares, certificates of deposit, cash, stocks, bonds or similar investments. NAME OF FINANCIAL INSTITUTION OR INVESTMENTS AMOUNT ON DEPOSIT NAME ON ACCOUNT VALUE OF INVESTMENT 21. LIFE INSURANCE: List all policies held by you and your spouse. 25. MONTHLY EXPENSES: UTILITIES __________ FOOD __________ PHONE _______________ CLOTHING __________ HEAT __________ CAR EXPENSE _________ OTHER (Specify): __________________________________________ ___________________________________________________________ 26. OTHER ASSETS: List all other assets and their values that are owned or controlled by you. (For example, boats, coin collection, antiques, silver). TYPE OF ASSET VALUE OWNER REASON FOR REQUESTING EXEMPTION NOTICE: Any willful misstatements or misrepresentations made on this form may constitute perjury, which, under the law, is a felony punishable by fine or imprisonment. NOTICE: A copy of your latest federal income tax return, state income tax return (MI-1040) and your Homestead Property Tax Credit claim (MI-1040CR 1,2,3 or 4) must be attached as proof of income.
FEDERAL POVERTY GUIDELINES FOR 2006 ASSESSMENTS The following are federal poverty guidelines as of 12-31-06 for use in setting poverty exemption guidelines for 2007 assessment. Size of Family Unit Poverty Guidelines 1 $ 9,800 2 $13,200 3 $16,600 4 $20,000 5 $23,400 6 $26,800 7 $30,200 8 $33,600 For each additional person, add $ 3,400