Proof Of No Income Letter – State of the State of Non-Income Affidavit appeared before me personally, the undersigned authority and for the province and state, _______________________ (Name of Affiant), first sworn to by a Notary Public, remove and say: 1. My home address is ______________________________________________________________ ______________________________________________ (street address, city, province, state, zip code) . 2. I am ______________________________________ (married or married or separated or divorced; if married, state the spouse’s full name). 3. Have _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ [no dependents, or, the following dependents: (name of state and relationship, and the amount of monthly assistance offered to each)] . 4. I am __________________________________________________________ [unemployed, and have been unemployed since (date of last employment) . 5. I certify that I do not receive money from the following sources: A. Salary from work ( including commissions, tips, fees, fees, etc.);B.Operating income;C.Rental or personal property income ; D. Interest or dividends on property; , or death benefits; F. Unemployment or disability payments; G. Public assistance payments; Other sources of information not mentioned above 6. I currently have no income whatsoever and no imminent change is expected in my financial situation or employment status within the next 12 months. rent and other needs: ( note) ______________________________________________________________ ______________________________________________________________ . See my signature on this ____________________ (date). ________________________________________ (Name and Signature of Affiant) SWORN to and subscribed before me, on ____ day of ______________, 20____. ___________________________ NOTARY PUBLIC My Commission Expires: ____________________
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Proof Of No Income Letter
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To apply for a CAP, contact Dollar Energy Fund at 1-888-282-6816 or apply online using the Dollar Energy Fund MyApp tool.
Free Printable Income Verification Letter Templates [pdf, Word]
Pennsylvania Customer Assistance Program (PCAP) PCAP helps residential customers maintain electric service and cancel their past balances. The goal of this program is an affordable bill.
Self-validating a document means verifying the document itself. Self-certification gives you the power to ensure the authenticity of documents without the help of a notary. This usually involves putting your signature on a document and writing u201c a certified true copyu201d.
Total Annual Income $ I certify that I am the only person in this household living at this address for whom I am applying for assistance. I also certify that the information provided on the income of the person living with me is true and correct. I understand that I only receive food assistance once a month.
u201c I declare that the above details are true, correct and complete to the best of my belief and knowledge.u201d u201c I declare that the above information is correct to the best of my knowledge.u201d
Free Hardship Letter Template & Faqs
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To qualify for CAP, monthly income must not exceed: $1,699 u2013 One person in the household. $2,289 u2013 Two people in the house. $2,879 u2013 Three people in the house.
I confirm that I do not receive money from the following sources: a. Earnings from employment (including commissions, tips, bonuses, fees, etc.); b. The operating income of a company; c. Income from rent or personal property; d.
There are several programs available in Pennsylvania to help with your utility bills: Budget Billing. … Consumer Assistance Program (CAP) … Consumer Assistance Assessment and Evaluation Program (CARES) … Fund. … Low Income Home Energy Assistance Program (LIHEAP) … Low Income Utility Reduction Program (LIURP)
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For the most efficient processing, please submit a CAPS application at www.gateway.ga.gov. If you need help submitting an online application, call 1-833-4GACAPS (1-833-442-2277). If you are unable to submit an application online, please click on the link to the Contact Us page to submit an application form.
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