Self-Employment Affidavit - New York

New York · Fillable PDF · Free

Describe your business activity, work period and income basis for the requesting organization. Use accurate records and confirm whether tax returns or other independent evidence must accompany the affidavit. Verify your self-employment and earnings.

Serving New York. New York appointments require New York-commissioned notaries.

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Who this form is for

  • Verify your self-employment and earnings.
  • Describe your business activity, work period and income basis for the requesting organization. Use accurate records and confirm whether tax returns or other independent evidence must accompany the affidavit.

What you'll need

  • The original Self-Employment Affidavit packet and its instructions.
  • The names, dates and supporting records needed to verify your self-employment and earnings.
  • The recipient's requirements and acceptable photo ID if arranging a notarial act.

How to complete it

  1. Download the New York Self-Employment Affidavit PDF and read its instruction page.
  2. Enter the requested information to verify your self-employment and earnings; confirm any choices you do not understand with a New York attorney.
  3. Follow this packet's signature, witness and notarization directions. Do not pre-sign a statement that must be signed before the notary.
  4. Save and print your completed copy, then follow the packet's delivery or recording instructions and keep a copy for your records.

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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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