Poverty Exemption Policy - York Township Michigan Page 2

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4. Statements from all lien holders that the property is not subject to any pending or threatened
foreclosure action and no mortgage or other encumbrance creating a lien against the property is
in default.
5. Copy of Tax returns and W-2s for the last two years, unless the applicant/occupant has been in
the program the year prior, then just one year will be required, OR, IF APPLICABLE,
a. Copy of Social Security Statements (Form 1099) and/or Social Security Benefits Statement
for the current year, OR, if applicable,
b. Unemployment compensation (Form 1099).
6. Unemployment Benefit Statement.
7. Long-term Disability Statement.
8. Completed Financial Worksheet (attached).
9. Name(s), mailing addresses and type of interest (i.e. fee simple, life estate) of all persons who
have an ownership interest in the subject property.
10. Most recent copy of all last bank statements (savings, checking, IRA accounts).
11. Notice of Interest Liability (attached.
12. Two most current pay stubs.
13. Child support order.
14. Denial of Food Stamps and Medicaid.
15. Copies of Medical Bills.
Unless the Supervisor and the Board of Review determines there are substantial and compelling reasons
why there should be a deviation from the policy and federal guidelines and these are communicated in
writing to the claimant.
The Resolution was introduced by Sally Louis and Supported by Jill Hargrove. Resolution #2015-03
declared adopted by the following Roll Call Vote: Stanowski, Aye; Neill, Aye; Pichla, Aye; Hargrove, Aye;
Louis, Aye; Nay: None; Absent: Kartje, Iott. Motion carried 5-0-2
______________________________
Helen Neill, Clerk
CERTIFICATE
I, Helen Neill, hereby certify that the foregoing Resolution #2015-03 was adopted by the Charter
Township of York Board of Trustees at a Regular meeting of said Board held on February 10, 2015 at
which meeting a quorum was present, by a roll call vote of said members that said resolution was
ordered to take immediate effect.
____________________________________
Date: _______________________
Helen Neill, Clerk, Charter Township of York

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