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0802.N4 Property Name: Unit Number: Print Name: ( ) Phone You have applied for or are receiving housing assistance under a federally regulated program. Federal regulations require the housing owner/agent.

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How to fill out the NON-EMPLOYED STATUS SELF-CERTIFICATION online

Filling out the Non-Employed Status Self-Certification form is an essential process for individuals applying for housing assistance. This comprehensive guide provides clear, step-by-step instructions to help you accurately complete the form online.

Follow the steps to fill out the form correctly.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by filling out the property name and unit number in the designated fields. Ensure that the information is accurate as it will be used for verification purposes.
  3. Enter your print name in the provided space. This should reflect your full legal name.
  4. Indicate whether you have been employed in any capacity in the last 12 months by selecting ‘Yes’ or ‘No’. If you select ‘Yes’, you will need to provide supporting documentation to demonstrate your income earned in that period.
  5. If you are not currently employed, select the appropriate option that best describes your circumstance. Specify whether you intend to seek employment in the next 12 months and provide any relevant details regarding your occupation desired or anticipated earnings.
  6. If you anticipate earning an annual gross income, enter that amount in the allocated space. Attach any supporting documentation such as pay stubs, tax returns, or other relevant evidence.
  7. Review the Certification section carefully. By signing, you are confirming that the information provided is true and aware of the penalties for providing false information. Sign and date the form correctly.
  8. Once all sections are completed and checked for accuracy, you may choose to save your changes, download, print, or share the form according to your needs.

Complete your Non-Employed Status Self-Certification form online today!

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