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Financial Affidavit Letter

Financial Affidavit Letter in Word, Google Docs, PDF, Apple Pages

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Provide a clear and comprehensive financial picture with's Financial Affidavit Letter. This template is perfect for individuals and businesses that need to provide a detailed overview of their financial situation, such as income, expenses, debts, and assets. It's an essential tool for legal and financial purposes.


State of Arizona

County of Page

This is to certify that I, John W. Moberly, having sworn to tell the truth, attest that:
1. I was born on April 10, 1987.
2. I am currently residing at the following address: 4663 Skips Lane, Page, AZ 86040.


3. My current employment status is as follows:
I am currently NOT EMPLOYED.
I am currently EMPLOYED 
as a Software Developer at WintherTec Inc. located at 732 Nash St., Chicago, IL 60610732 Nash St., Chicago, IL 60610.
I am paid
other: ________


4. The following are my sources of income:
Salary : $ 50,000.00
Bonuses : $ 7,000.00
Incentives : $ 6,000.00
My annual gross income is $ 63,000.00.


5. The following are my annual deductions:
Federal Income Tax : $ 6,500.00
State Tax : $ 3,000.00
FICA : $ 2,550.00
Bank Loan : $ 5,200.00
My total annual deduction is $ 17,250.00.

6. My net annual income is $ 45,750.00.


7. The following are my average annual expenses:
Household : $ 5,750.00
Insurance : $ 6,200.00
Transportation : $ 5,400.00 
My total average annual expenses is $ 17,350.00.


8. The following are the assets that I currently own:
Cash (in Bank) : $ 204,000.00
Vehicle : $ 20,500.00
Real Estate : $ 180,450.00
The total value of my current assets is $ 404,950.00.


9. The following are the liabilities that I currently owe:
Mortgage : $ 12, 450.00
Credit Card : $ 5,700.00
Bills Payable : $ 8, 300.00
The total value of my current liabilities is $ 26,450.00.

10. I certify under penalty of perjury that the above information is complete and correct.

Signature *
John W. Moberly
Name *


State of Arizona

County of Page

The foregoing instrument was acknowledged before me this 21st day of June 2035, by the undersigned, who is personally known to me or has satisfactorily proven to me to be the person whose name is subscribed to the within instrument.

Signature *

Jannie M. Riley
Name *

My commission expires on August 23, 2037.

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