Affidavit of No Income - California

California · Fillable PDF · Free

Sworn statement that you have no earned income. An organization accepts a sworn statement of no employment or self-employment income. Disclose other support and benefits accurately; this form does not establish eligibility or replace an organization's required zero-income form.

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Who this form is for

• People asked to document that they have no earned income.
• Applicants asked to explain support from family, benefits or other sources.

What you'll need

• The requesting organization's instructions and any required zero-income form.
• Your legal name, address, the date earned income stopped and the reason.
• Accurate information about family support, benefits, pensions, savings or other sources of support.

How to complete it

1. Check whether the organization requires its own form and how frequently it needs updates.
2. Enter your identity and explain when earned income stopped and why.
3. List all other support or benefits requested, then save and print the PDF.
4. Sign under oath before the notary, submit as instructed, keep records and report changes as the organization requires.

Related California forms

These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.

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