Form Declaration Under Penalty of Perjury for the Centers For Disease Control and Preventions Temporary Halt in Evictions To Prevent Further Spread of Covid-19 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information, including your name, address, and contact details. Ensure accuracy as this information is crucial for your declaration.
3. In the income section, indicate whether you expect to earn no more than $99,000 (or $198,000 if filing jointly). This is essential for establishing eligibility under the CDC order.
4. Next, provide details about your financial situation. Clearly state any loss of income or extraordinary medical expenses that have impacted your ability to pay rent.
5. Complete the section regarding potential homelessness if evicted. This helps demonstrate the urgency of your situation.
6. Finally, review all entries for accuracy before signing and dating the declaration at the bottom of the form. Remember that this is a sworn statement.

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