Non Employment Affidavit

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NON-EMPLOYMENT AFFIDAVIT

This Affidavit is to be signed by any individual who is 18 years of age and over who claims no
employment income on an Application.


Check (A) or (B) as applicable.


A. I am not presently employed but have been offered employment with
______________________ _________________________________ (company name) to
begin work on (date)_________________________.

[If A. is selected, obtain verification of expected earnings from the employer and include the
amount with third-party verified income of other household members to ensure that the
household is income qualified.]


B. I am not presently employed in any capacity. I am not under any affirmative obligation to
obtain employment and do not anticipate becoming employed within the next twelve months.
I do not receive unemployment compensation or other benefits as a result of my non-
employed status.
I do receive benefits from _______________________________________________
[If other benefits are received (ex: Social Security), obtain verification of amounts and
include with third-party verified income of other household members to ensure that the
household is income qualified.]



This Affidavit is true and complete. Any misrepresentation herein will be considered a material
breach of the Lease and will subject me to immediate eviction.



_________________________________________
(Applicant /Resident Signature)

_________________________________________
(Date)


_________________________________________
(Witness)

_________________________________________
(Date)
4/07

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