Affidavit of Self-Employment Template
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Affidavit of Self-Employment
I, [YOUR NAME], residing at Irvine, CA 92602, hereby declare and affirm the following:
Personal Information
Full Name: [YOUR NAME]
Date of Birth: January 15, 2050
Address: Irvine, CA 92602
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
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.
Period of Self-Employment
I have been continuously self-employed since June 1, 2075 to the present date.
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.
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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