Affidavit of Self-Employment and Income - California

California · Fillable PDF · Free

Sworn proof of self-employment and income. A receiving organization accepts your sworn statement of business activity and income with supporting records. Some organizations require a CPA or tax preparer's letter instead of, or in addition to, an affidavit.

Download Affidavit of Self-Employment and Income - California PDF · 3 pages. No account required.

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Who this form is for

• Self-employed people, freelancers and business owners documenting income.
• Applicants gathering an accepted sworn income statement for a lease, benefits or use abroad.

What you'll need

• Tax returns, 1099s, bank statements or other supporting income records.
• Business details and accurate gross and net income for the requested periods.
• The receiving organization's requirements and acceptable identification.

How to complete it

1. Confirm that the receiving organization accepts this affidavit and ask what reporting periods and records it requires.
2. Enter business information and income accurately, distinguishing gross income from net income after business expenses.
3. List the requested attachments and purpose. Save and check the PDF in your own PDF app, then print and sign under oath before the notary.
4. Submit the supporting records and retain a copy. For use abroad, confirm destination requirements and ask about apostille eligibility and processing.

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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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