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99 10685 � <br /> EXHIBIT B-10 <br /> UNEMPLOYED APPLICANT'S AFFIDAVIT <br /> This Affidavit is to be signed by all individuals 18 years of age and over when no income for them is indicated on <br /> the accompanying income certification. <br /> Check as applicable: <br /> I am not presently employed but anticipate becoming employed within the next twelve months. <br /> Based on my past work experience,skills and income history as reflected in my income tax return for the most recent <br /> ta�c year(copy attached)and with adjustments to reflect circumstances anticipated within the next twelve months,I expect to <br /> earn$ per year when I become employed. <br /> I am not presently employed and do not anticipate becoming employed within the next twelve months. <br /> Applicant/Resident Signature <br /> Date <br /> B-10-1 <br />