Self Employment Declaration
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Self-Employment Declaration Letter I, ___________________________________________, confirm that I have been selfemployed for _________ years as a _________________________, under the business name of _______________________________________.
The nature of my business is as follows: ________________________________________________________ ________________________________________________________ ________________________________________________________
I operate my business out of the following address: ________________________________________________________ ________________________________________________________
My gross income for 2008 was $_____________________. My expected gross income for 2009 will be $____________________.
Signed, ____________________________________ (Signature)
___________________________ (Date)
The nature of my business is as follows: ________________________________________________________ ________________________________________________________ ________________________________________________________
I operate my business out of the following address: ________________________________________________________ ________________________________________________________
My gross income for 2008 was $_____________________. My expected gross income for 2009 will be $____________________.
Signed, ____________________________________ (Signature)
___________________________ (Date)
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