Fill Free fillable Form 30 Energy Assistance Program Zero
Zero Income Affidavit Form. Web income for period covering _ to __ _____ _____ _____ _____ _____ i understand that to perjure myself in order to obtain assistance is a. I, , do swear or affirm, under penalty if perjury that:
Fill Free fillable Form 30 Energy Assistance Program Zero
I, _____________________________ hereby certify that i do not individually receive income from any of the following sources:. Web income for period covering _ to __ _____ _____ _____ _____ _____ i understand that to perjure myself in order to obtain assistance is a. I, , do swear or affirm, under penalty if perjury that: I hereby certify that i do not individually receive income from any of the following sources: This zero income determination worksheet must be completed by all heads of household reporting no ($0). Web description hopwa program regulations require verification of all income from participating households.
I, , do swear or affirm, under penalty if perjury that: This zero income determination worksheet must be completed by all heads of household reporting no ($0). I hereby certify that i do not individually receive income from any of the following sources: I, , do swear or affirm, under penalty if perjury that: I, _____________________________ hereby certify that i do not individually receive income from any of the following sources:. Web income for period covering _ to __ _____ _____ _____ _____ _____ i understand that to perjure myself in order to obtain assistance is a. Web description hopwa program regulations require verification of all income from participating households.
