Michigan Department of Treasury
Issued under P.A. 237 of 1994.
T-1056 (Rev. 2/95)
Filing is required if you wish to receive an exemption.
AFFIDAVIT FOR HOMESTEAD EXEMPTION
This affidavit allows you to claim an exemption from some school operating taxes. For your homestead to be
eligible, you must own and occupy it as your legal principal residence. Read the instructions on the back of this
form, then complete all sections that apply to you and sign it. File this form by May 1 with the township or
city in which your property is located.
PART 1: Identification
If there are more than 2 legal owners who occupy the property, attach a separate list
giving the name and Social Security number of each.
1.
Name of Owner Who Occupies the Property (first, middle, last)
Name of Co-Owner (first, middle, last)
Mailing Address of Owner
2.
Owner's Social Security Number
-
-
City and State
ZIP Code
3.
Co - owner's Social Security Number
-
-
Property Identification
Enter below the property tax identification number of the eligible property you are claiming. This number is on your tax bill or your assessment notice.
4.
Start at the left and leave any extra spaces blank. Use a full space for any hyphens (-) in the number. Enter only 1 PIN. If you are claiming other
properties complete a separate form for each property.
Name of Township/City Where Property is Located
County of Property
5.
Check one:
Township
City
Street Address of Property (if different from #1)
City and State
ZIP Code
Yes
No
6.
Have you claimed a homestead exemption for another Michigan homestead?
Yes
No
7.
If yes, have you rescinded that homestead exemption?
PART 2: Multi-unit and Multi-Purpose Property.
If this parcel has more than one home on it, or if you own and live in one unit of a multiple-unit
dwelling (or a multi-purpose property) give the percentage of the entire property that your unit
%
(your principal residence) occupies. Your exemption will be based on this percentage.
PART 3: Cooperative housing corporations.
If you are a stockholder in a cooperative housing corporation and you occupy the
Total Number of Units
Your percentage
cooperative as your principal residence, enter the total number of units in the
cooperative and the percentage of the total cooperative that you own and occupy.
Certification:
This affidavit is invalid unless it is signed.
I certify, under penalty of perjury, that I own (or co-own) and occupy the property claimed on this affidavit as my principal
residence, that I am filing an affidavit for only one dwelling, and that all information is true to the best of my knowledge.
Owner's Signature
Date
Co - owner's Signature
Date
Do not write below this line.
Local Governments:
What is the first year you will post this exemption to the tax rolls? _____________