Example of affidavit of zero income 2025

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Any documents from state or federal benefit agency that show zero income. These can be eligibility notices for food stamps or Medicaid for instance. If zero income is due to the loss of a job, this can be proven by a termination letter or a notice of severance pay on your last paycheck stub.
To fill out the Certification of Zero Income, start by providing your household name and address. Next, indicate that you do not have any income from specified sources. Finally, sign and date the form to affirm the truthfulness of your claims.
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.
I hereby certify that I do not individually receive income from any of the following sources: a. Wages from employment (including commissions, tips, bonuses, fees, etc.); b. Income from the operation of a business; c. Rental income from real estate or personal property; d.
I currently have no income of any kind and there is no change expected in my financial status or employment status within 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.
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I/we do hereby give my/our sworn statement that as of this date, I/we are not employed nor do I/we anticipate receiving any income from any other source other than what I/we have reported previously.
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 .

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