Free Affidavit of Self-Employment Template

Affidavit of Self-Employment

I, [YOUR NAME], residing at Irvine, CA 92602, hereby declare and affirm the following:

  1. Personal Information

    • Full Name: [YOUR NAME]

    • Date of Birth: January 15, 2050

    • Address: Irvine, CA 92602

  2. Business Information

    • Company Name: [YOUR COMPANY NAME]

    • Nature of Business: Business Consulting and Advisory Services

    • Business Address: [YOUR COMPANY ADDRESS]

    • Contact Information: [YOUR COMPANY EMAIL]

    • Tax Identification Number: 12-3456789

  3. Self-Employment Details

    I affirm that I am self-employed and operate under [YOUR COMPANY NAME]. My role involves providing consulting services, business development strategies, and management advisories to small and medium-sized enterprises.

  4. Period of Self-Employment

    • I have been continuously self-employed since June 1, 2075 to the present date.

  5. Income Declaration

    • My annual income from my self-employment activities is approximately $75,000. I have supporting documentation such as tax returns, bank statements, or other financial records to verify my income if required.

  6. Statement of Accuracy

    I declare that the above information is accurate and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in legal consequences.

Affirmation

I, [YOUR NAME], do solemnly affirm and declare under penalty of perjury that the contents of this affidavit are true and correct.

Date: October 31, 2084

Notarization

State of California
County of Irvine

Subscribed and sworn to (or affirmed) before me on this 31st day of October, 2084 by [YOUR NAME], who is personally known to me or has produced Driver’s License as identification.

Printed Name of Notary Public: Maryjane Dare

Commission Number: 123456789

My Commission Expires: December 31, 2085

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