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Click ‘Get Form’ to open the loss of income attestation form in the editor.
Begin by entering your name in the designated field as the applicant. This personalizes your submission.
Next, indicate your household income prior to COVID-19 by filling in the monthly amount in the specified field.
In the following field, provide your current household income, reflecting any changes due to COVID-19.
Select one of the situations that apply to your household by checking the appropriate box. If none fit, use the 'Other' section to describe your circumstances.
Finally, sign and date the form at the bottom to certify that all information provided is accurate.
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I currently have no income of any kind and there is no imminent change expected in my financial status or employment status during the next 12 months. Under penalty of perjury, I certify that the information presented in this certification is true and accurate to the best of my knowledge.
How to handle loss of income?
If youre facing income loss, reassess your household budget. The first step in creating any budget is to list the money you expect to have coming in or already have in emergency savings. Next, review your expenses and categorize them into bills you must pay and areas in which you can cut back.
What is a self-attestation of no income?
To use self-attestation as documentation, the self-attestation form must be completed as follows: If a job seeker states that he or she cannot provide evidence that no income was received during the past six months, and that he or she was unemployed for that period, complete the blank spaces following the words I
How do I write a self-declaration letter for no income?
I certify that I have not been employed, self-employed, completed odd jobs, or had any source of income including gifts or loans during the past 30 days. For the amount of $. I received my last payment from this source on or about .
How do I prove that I have no income?
Proof that you have no income If a household member is not currently working and was asked to submit proof that they have no income, they may submit a signed written statement (also called an affidavit). The affidavit needs to state that they do not have any income and must be signed under penalty of perjury.
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