Job Loss Affidavit

STATE OF [State Name]
COUNTY OF [County Name]

Introduction:

I, [Your Name], residing at [Your Address], being duly sworn, hereby depose and state:

Statement of Facts:

1. I, [Your Name], hereby submit this affidavit to attest to my current unemployment status.

2. I was previously employed by [Company Name], located at [Company Address], where I held the position of [Title].

3. My employment commenced on [Start Date] and concluded on [End Date], due to [Layoff/Termination/Other (Specify)], which was not a result of my personal actions or preferences.

4. Regarding my personal information, I was born on [Your DOB], and can be contacted via phone at [Your Phone Number] or email at [Your Email Address].

5. Should it be necessary for the processing of this affidavit, I am also willing to provide my Social Security Number, which I understand is optional and will be used in accordance with the requirements of the requesting party.

Purpose of Affidavit:

This affidavit is made for the purpose of providing proof of my current unemployment status to [Name of the Entity or Individual] for the intention of renegotiating debts or payment terms due to financial hardship resulting from my job loss.

Acknowledgment:

I understand that this affidavit is made under oath and declare that the information provided herein is true, complete, and accurate to the best of my knowledge and belief. I am aware that providing false statements under oath may subject me to penalties under law.

Sworn Oath:

Sworn to (or affirmed) and subscribed before me this [DAY] of [MONTH], [YEAR], by [Your Name] who is personally known to me or who has produced government-issued identification, such as a driver's license or passport, as identification.

Signature:

[Your Name]

[Date]

[Notary's Name]

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