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EXHIBIT B -11 <br />UNEMPLOYED APPLICANT'S AFFIDAVIT 200109053 <br />This Affidavit is to be signed by all individuals 18 years of age and over when no income for them is <br />indicated on the accompanying income certification. <br />Check as applicable: <br />I am not presently employed but anticipate becoming employed within the next <br />twelve months. <br />I am not presently employed but I am aware of an employment start date <br />of at $ per month/week. <br />Applicant/Resident Signature <br />01- 351904.01 <br />I <br />Date <br />