Zero Income Affidavit Form - Rental or royalty income from real or personal property, or gain. Wages from employment (including commissions, tips, bonuses, fees, pay in lieu of vacation or sick time, profit sharing, etc.); I, , hereby certify under the penalties of perjury and fraud the following: I understand that any misrepresentation of information or failure to disclose information requested on this form may disqualify me from participation in the fhlbi’s affordable housing program (ahp) and may be grounds for. I hereby certify that i do not individually receive income from any of the following sources: I, _____ hereby certify that i do not individually receive income from any of the following sources: Interest or dividends from assets; Income from the operation of a business; Wages from employment (including commissions, tips, bonuses, fees, etc.); Rental income from real estate or personal property;
I understand that any misrepresentation of information or failure to disclose information requested on this form may disqualify me from participation in the fhlbi’s affordable housing program (ahp) and may be grounds for. Income from operation of a business; 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 the operation of a business; Wages from employment (including commissions, tips, bonuses, fees, pay in lieu of vacation or sick time, profit sharing, etc.); Interest or dividends from assets; Rental or royalty income from real or personal property, or gain. I, _____ hereby certify that i do not individually receive income from any of the following sources: I, , hereby certify under the penalties of perjury and fraud the following: Rental income from real estate or personal property;