3 Certification of Income and Expenses CSD 43B-ENGLISH 2026

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  1. Click ‘Get Form’ to open the Certification of Income and Expenses CSD 43B-ENGLISH in the editor.
  2. Begin by entering your name and address at the top of the form. This information is crucial for identifying your application.
  3. In Section 1, answer the questions regarding your sources of income. Select 'YES' or 'NO' for each question, ensuring you report all income accurately.
  4. Proceed to Section 2, where you will indicate if you are using savings or borrowing money to cover expenses. Fill in the amounts as applicable.
  5. In Section 3, list your monthly expenses such as rent, utilities, and food. Specify how these expenses have been paid and provide details if someone else is covering costs.
  6. If none of the previous sections apply, use Section 4 to explain how your monthly expenses were managed.
  7. Finally, sign and date the form at the bottom to affirm that all information provided is accurate.

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The document is a certification form from the Department of Community Services and Development in California, designed for individuals seeking assistance who cannot provide proof of income.

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