AFFIDAVIT IN VERIFICATION OF SELF-EMPLOYMENT

SELF-EMPLOYMENT AFFIDAVIT . I, (Name)_____ of (Address)_____ state that I am self-employed, said occupation being _____. My place of business is located at: _____. I sign the declaration under penalty of perjury. STATEMENT OF INCOME FROM BUSINES. Instructions: 1. Opposite GROSS INCOME insert total amount earned during the past 12 months or ... ................
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