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Sample Affidavits

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Affidavit of Income
Your Name
Your Address
Your Telephone No.
To whom it may concern:

This is to certify that I am single, without dependents, unemployed, and without a monthly income;

that my health has made it impossible for me to continue working as a __________________ (job description) and I have been unable to find other employment;

that I have neither a bank account, a medical aid scheme, or property of my own, nor do I receive a pension of any kind;

that I am wholly dependent on and supported by my _____________ (nature of relationship), _________________ (name) who lives at the same address.

Very truly yours,........

___________________.....
___________________.....

 

 

. Affidavit .
Name of Person Supporting You
Their Address
Their Telephone No.
To whom it may concern:

This is to certify that my ________________ (nature of relationship), ________________ (your name), is supported by me, has no other source of income, and resides at the same address.

Very truly yours,........

___________________.....
___________________.....