Affidavit of Gross Income Payment
I. Introduction
This Affidavit of Gross Income Payment is a sworn statement used to declare total income before taxes for [YOUR NAME]. The information provided is accurate to the best of my knowledge and is being submitted for various purposes such as loan application, child support determination, or rental agreement approval.
II. Affiant Information
I, [YOUR NAME], hereby declare under oath the following details regarding my income:
III. Gross Income Declaration
This section outlines my gross income for the past year, detailing all earnings before taxes and deductions.
Income Source | Amount (USD) | Payment Frequency | Date of Payment |
|---|
Employment (Salary) | $75,000 | Monthly | January 1, 2050 |
Freelance Consulting | $15,000 | Quarterly | April 1, 2050 |
Rental Income | $10,000 | Monthly | February 15, 2050 |
Investment Income | $5,000 | Annually | December 5, 2050 |
Total Gross Income: $105,000 for the year 2050.
IV. Conclusion
I affirm that the information provided is true and correct to the best of my knowledge. This affidavit is executed to verify my income for use in legal, financial, or contractual matters.

Date: December 10, 2050
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
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