Free Financial Affidavit Template

Financial Affidavit

1. Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], do hereby solemnly affirm and declare under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief:

2. Financial Information

  • Annual Gross Income: $[GROSS INCOME AMOUNT]

  • Monthly Net Income: $[NET INCOME AMOUNT]

  • Total Monthly Expenses: $[MONTHLY EXPENSES AMOUNT]

  • Total Assets (Savings, Investments, etc.): $[ASSETS AMOUNT]

  • Total Liabilities (Mortgages, Loans, etc.): $[LIABILITIES AMOUNT]

3. Additional Information

  • Are there any outstanding judgments against you? [YES/NO]

  • Are you currently involved in any lawsuits? [YES/NO]

  • Have you declared bankruptcy in the past? [YES/NO]

  • Are there any other significant financial obligations or circumstances that should be considered? [YES/NO]

4. Declaration

  • I understand that this Financial Affidavit is being submitted for the purpose of obtaining a loan, and I affirm that all information provided herein is true and accurate to the best of my knowledge.

  • I understand that providing false information may result in legal consequences, including perjury charges.

  • I authorize the verification of the information provided in this affidavit by the lender or their representatives.

  • I understand that this Financial Affidavit may be used as part of the loan application process and that additional documentation or verification may be required.

5. Signature

[YOUR NAME]

Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]

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