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LOSS OF INCOME ATTESTATION FORM I, (Applicant), verify that my household income has been negatively impacted by COVID19. I am completing this form as I am unable to provide MSC with other requested.

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You should know that self-attested documents mean that you verify the document by yourself. It also empowers you to confirm the authenticity of any document without the help of a Gazetted officer or a public notary.

I _________________________________ certify that I have not been employed, self-employed, completed odd jobs, or had any source of income including gifts or loans during the past 30 days. For the amount of $________________. I received my last payment from this source on or about ___________________________.

Self-attestation simply requires you to place your signature on a photocopy of the document you want to certify. After you have a made a clean copy of your document, write a statement on it such as: “True copy” or “Self-attested copy”. Then place your signature directly under it.

This is a written statement that permits the documentation of eligibility for the program based on any ONE or MORE of the following. criteria: ● Household Income.

Self-attestation simply requires you to place your signature on a photocopy of the document you want to certify. After you have a made a clean copy of your document, write a statement on it such as: “True copy” or “Self-attested copy”. Then place your signature directly under it.

Self attested photograph means you have to attest it yourself instead of a gazetted officer. Get the photo and after pasting it on the document or form put your signature in running hand partly on the base document and partly on the photo. That's all.

How to create an eSignature for the Self Attest Form in the online mode Select the document you want to sign and click Upload. Choose My Signature. Decide on what kind of eSignature to create. There are three variants; a typed, drawn or uploaded signature. Create your eSignature and click Ok. Press Done.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232