INCOME AFFIDAVIT
I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. OCCUPATION AND INCOME
- 2. PURPOSE
2.2 I undertake to inform the issuing authority if my income changes materially before the certificate is issued, and I understand that the certificate may be withheld or cancelled if any statement made here is found false.
- 3. DECLARATION
3.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this application. I am aware that making a false declaration in an affidavit is an offence.
VERIFICATION
DEPONENT
Signature: ______________________________
__________
ATTESTATION
Notary Public / Oath Commissioner
Registration No. and seal: ____________________