Michigan 5107 Form PDF Details

In the state of Michigan, the 5107 form, also known as the Affidavit for Disabled Veterans Exemption, serves as a vital document for disabled veterans or their unremarried surviving spouses seeking an exemption from property taxes. Mandated by Public Act 161 of 2013 and governed by MCL 211.7b, this form must be filed annually between December 31 and the Tuesday following the second Monday in December to qualify for the exemption. The affidavit requires detailed information about the owner, which could either be the disabled veteran or their unremarried surviving spouse, including their name, contact information, and the address of the homestead property. If someone other than the property owner is filling the form, the details of this legal designee must also be supplied. Crucially, the form necessitates acknowledgment of the applicant's status as a disabled veteran discharged under honorable conditions or the unremarried spouse of such a veteran, along with their Michigan residency and the ownership and use of the property as their homestead. Validation of the veteran's disability by the United States Department of Veterans Affairs is required, evidenced through attachments such as letters or certificates proving the disability, receipt of pecuniary assistance for specially adapted housing, or a rating of individual unemployability. Applicants are required to affirm the truthfulness of the information provided and their eligibility for the exemption, coupled with the necessary signature and attached Letter of Authority in cases where a designee is acting on behalf of the eligible individual.

QuestionAnswer
Form NameMichigan 5107 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmichigan department of treasury form 5107, form 5107 disabled vet, michigan disabled veterans exemption form, 5107

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Michigan Department of Treasury 5107 (12-13)

State Tax Commission Afidavit for Disabled Veterans Exemption

Issued under authority of Public Act 161 of 2013, MCL 211.7b. Filing is mandatory.

Instructions: This form is to be used to apply for an exemption of property taxes under MCL 211.7b, for real property used and owned as a homestead by a disabled veteran who was discharged from the armed forces of the United States under honorable conditions or his or her unremarried surviving spouse.

The property owner, or his or her legal designee, must annually ile the Afidavit with the supervisor or assessing oficer after December 31 and before the

Tuesday following the second Monday in December.

OWNER INFORMATION (Enter information for the disabled veteran or unremarried surviving spouse)

Owner’s Name

Owner’s Telephone Number

Owner’s Mailing Address

City

State

ZIP Code

LEGAL DESIGNEE INFORMATION (Complete if applicable)

Legal Designee Name

Daytime Telephone Number

Mailing Address

City

State

ZIP Code

HOMESTEAD PROPERTY INFORMATION (Enter information for the property in which the exemption is being claimed)

City, Township or Village (Check the appropriate box and provide the name)

City

Township

Village

County

Name of the Local School District

Parcel Identiication Number

Date the Property was Acquired (MM/DD/YYYY)

Homestead Property Address

City

State

ZIP Code

ACKNOWLEDGEMENT (Check all boxes that apply)

I am a disabled veteran, or the legal designee of the disabled veteran, who was discharged under honorable conditions from the armed forces of the United States of America with a service connected disability.

I am the unremarried surviving spouse, or the legal designee of the unremarried surviving spouse, of a disabled veteran who was discharged under honorable conditions from the armed forces of the United States of America with a service connected disability.

I am a Michigan resident.

I own the property in which the exemption is being claimed and it is used as my homestead. Homestead is generally deined as any dwelling with

its land and buildings where a family makes its home.

AFFIRMATION OF ELIGIBILITY (Check the appropriate box and provide a copy of the required documentation)

The disabled veteran has been determined by the United States Department of Veterans Affairs to be permanently and totally disabled as a result

of military service and entitled to veterans’ beneits at the 100% rate (must attach a copy of the letter from the U.S. Department of Veterans Affairs).

The disabled veteran is receiving or has received pecuniary assistance due to disability for specially adapted housing (must attach a copy of the certiicate from the U.S. Department of Veterans Affairs).

The veteran has been rated by the United States Department of Veterans Affairs as individually unemployable (must attach a copy of the letter from the U.S. Department of Veterans Affairs).

CERTIFICATION

I hereby certify to the best of my knowledge that the information provided in this Afidavit is true and I am eligible to receive the disabled veteran’s exemption from property taxes pursuant to Michigan Compiled Law, Section 211.7b.

Printed Name of Owner or Legal Designee

Title of Signatory

Signature of Owner or Legal Designee

Date

DESIGNEE MUST ATTACH LETTER OF AUTHORITY

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Step no. 1 in completing michigan department of treasury form 5107

2. The next stage is to fill out the next few blanks: ACKNOWLEDGEMENT Check all boxes, I am a disabled veteran or the, I am the unremarried surviving, I am a Michigan resident, I own the property in which the, AFFIRMATION OF ELIGIBILITY Check, The disabled veteran has been, The disabled veteran is receiving, The veteran has been rated by the, CERTIFICATION I hereby certify to, Title of Signatory, Signature of Owner or Legal, and Date.

Simple tips to prepare michigan department of treasury form 5107 stage 2

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