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200512500 <br />UNEMPLOYED AFFIDAVIT <br />This Affidavit is to be signed by all individuals 18 years of age and older when no employment income <br />for them is indicated on the Tenant Income Certification. <br />Check applicable statement <br />II I am not presently employed and do not anticipate becoming employed within the <br />next twelve (12) months. <br />I am not presently employed, and not aware of an employment start date, but <br />anticipate becoming employed within the next twelve (12) months. Based on my past <br />work experience, skills, and income history as reflected in my federal tax return or <br />W -21s* ( *if tax return has not yet been filed or is not required to be filed) here <br />iggluded for the most recent year available, and with adjustments to reflect <br />circumstances anticipated within the next twelve (12) months, I expect to earn <br />S� /year when I become employed <br />n I am not presently employed, but am aware of an employment start date <br />of at $ per <br />Under penalty of perjury, I certify that the information presented in this certification is true and accurate <br />to the best of my knowledge. The undersigned fwrther understands that providing false representations <br />herein constitutes an act of fraud. False, misleading or incomplete information may result in the <br />termination of a lease agreement. <br />Applicant/ Resident Signature <br />Printed Name <br />Date <br />