Legal analysis: This is to prove that the family situation of a certain person in our village is miserable and explain the specific situation, and it is necessary to apply for poverty allowance. This is to prove that, and then write down the signature of the poor person and the seal of the village Committee.

legal basis: article 2 of the regulations of the people's Republic of China on the minimum living guarantee for urban residents holds that non-agricultural registered permanent residence urban residents, and all family members who live together have the per capita income lower than the minimum living guarantee standard for local urban residents, all of them have the right to get basic living material help from the local people's government. The income mentioned in the preceding paragraph refers to all monetary income and in-kind income of family members living together, including alimony, alimony or alimony that should be paid by legal dependents, dependents or dependents, excluding pensions and subsidies enjoyed by entitled groups in accordance with state regulations.