Certification of Zero Income

Please write your full name (first & last)
Remember to include unit/apartment # if applicable

Please read & agree to the following statements by signing below:

1. I hereby certify that I do not individually receive income from any of the following sources:

  • Wages from employment (including commissions, tips, bonuses, fees, etc.);
  • Income from operation of business;
  • Rental income from real or personal property;
  • Interest or dividends from assets;
  • Social Security payments, annuities, insurance policies, retirement funds, pensions, or death benefits;
  • Unemployment or disability payments;
  • Public assistance payments;
  • Periodic allowances such as alimony, child support, or gifts from persons not living in my household;
  • Sales from self-employed resources
  • Any other source not named above

2. I currently have no income of any kind and there is no imminent change expected in my financial status or employment status in the next 12 months. 

Under penalty of perjury, I certify that the information presented in this certification is true and accurate to the best of my knowledge. The undersigned further understand(s) that providing false representations herein constitutes an act of fraud. False, misleading, or incomplete information may result in the termination of a lease agreement.