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    Affidavit of Non Employment PDF

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    HRMO Balud Masbate
    This document is a non-employment affidavit to be completed by any adult household member who claims no employment income. It requires the individual to select statements about their current employment status and benefits. They must attest that the information provided is true and accurate, with warnings that false information could result in termination of their lease or criminal penalties. The affidavit collects information about whether the individual is employed or seeking employment, any anticipated future employment or income sources, and whether they receive unemployment or other benefits related to their non-employment status.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Affidavit of Non Employment PDF

    Uploaded by

    HRMO Balud Masbate
    189 views1 page
    This document is a non-employment affidavit to be completed by any adult household member who claims no employment income. It requires the individual to select statements about their current employment status and benefits. They must attest that the information provided is true and accurate, with warnings that false information could result in termination of their lease or criminal penalties. The affidavit collects information about whether the individual is employed or seeking employment, any anticipated future employment or income sources, and whether they receive unemployment or other benefits related to their non-employment status.

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    affidavit-of-non-employment.pdf

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    This document is a non-employment affidavit to be completed by any adult household member who claims no employment income. It requires the individual to select statements about their current employment status and benefits. They must attest that the information provided is true and accurate, with warnings that false information could result in termination of their lease or criminal penalties. The affidavit collects information about whether the individual is employed or seeking employment, any anticipated future employment or income sources, and whether they receive unemployment or other benefits related to their non-employment status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    189 views1 page

    Affidavit of Non Employment PDF

    Uploaded by

    HRMO Balud Masbate
    This document is a non-employment affidavit to be completed by any adult household member who claims no employment income. It requires the individual to select statements about their current employment status and benefits. They must attest that the information provided is true and accurate, with warnings that false information could result in termination of their lease or criminal penalties. The affidavit collects information about whether the individual is employed or seeking employment, any anticipated future employment or income sources, and whether they receive unemployment or other benefits related to their non-employment status.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    NON-EMPLOYMENT AFFIDAVIT

    To be completed by any adult household member, including emancipated minors, who claim no employment income.

    TENANT/ APPLICANT: UNIT NO:


    DEVELOPMENT NAME:

    DIRECTIONS: Please select all that applies and attach the printout from Idaho Dept. of Labor to show the
    existence or lack of unemployment benefits and wage history for the last twelve months preceding the
    certification.

    1. I am not currently employed in any capacity and do not anticipate the change in my status. (Please check all
    that applies)

    I am not seeking employment.


    I have not recently applied for employment.
    I have not been offered employment.
    I am not under any affirmative obligation to obtain employment.
    I do not plan to look for employment due to:

    2. I am not currently employed in any capacity; however, I anticipate becoming employed in the next
    12 months.

    A. (Check one)
    I have been offered a position with (employer) that will begin (date)
    I am seeking employment as a (position) and I anticipate earning
    $ per (frequency).

    B. My anticipated income is supported by (check all that applies):


    Written confirmation from my new employer
    Previous tax return
    Previous job pay stub/ salary history
    Three current employment advertisements showing average compensation for a similar position
    Other:

    3. I attest that the following is true regarding benefits related to my unemployment:

    A. (Please check one)


    I am currently receiving unemployment benefits or other benefits related to my non-employment status.
    I am not currently receiving and do anticipate receiving unemployment benefits or other benefits.
    I am not currently receiving and do not anticipate receiving unemployment benefits or other benefits.

    B. If benefits related to your unemployment status (i.e. disability) other than unemployment is being received, please
    identify source: and amount $ .

    Under penalty of perjury, I certify that the information presented in this affidavit is true and accurate to the best of my knowledge.
    I further understand that providing false representations herein constitutes an act of fraud. False, misleading or incomplete
    information may result in the termination of my lease agreement.

    Tenant/ Applicant Signature Date


    WARNING: Section 1001 of Title 18 U.S. Code makes it a criminal offense to willfully falsify a material fact or make a false statement
    in any matter within the jurisdiction of a federal agency.

    Tax Credit Revised February 2015

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