No Income Verification Letter Template

Date: [Date]

To (Organization/Agency): [Agency/Housing Authority/Court/School/Company Name]
Attn: [Department/Contact Name]
[Address/Email (if known)]

From: [Your Full Name]
Address: [Street Address, City, State, ZIP]
Phone/Email (Optional): [Contact]

1. Statement of No Income

1.1 I, [Your Full Name], state that I currently have no income from any source, including employment, self-employment, business activity, rental income, or other regular income.
1.2 Date Income Stopped (If Applicable): [Date]
1.3 Reason (Optional): ☐ unemployed ☐ medical leave/disability pending ☐ caregiving ☐ student ☐ other: [__]

2. Current Support (Optional)

2.1 My basic living expenses are currently covered by:
☐ personal savings
☐ family/friends support
☐ public assistance (pending or limited): [Program, if applicable]
☐ shelter/housing assistance: [__]
☐ other: [Explain]

3. Purpose of This Letter

3.1 I am providing this letter for: ☐ benefits ☐ housing ☐ court ☐ school ☐ other: [Purpose].

4. Supporting Documents (Optional)

4.1 Attached (if requested):
☐ unemployment claim status (if applicable)
☐ benefits application confirmation (if applicable)
☐ bank statement (redacted) (if required)
☐ other: [List]

5. Truthful Statement

5.1 I declare that the statements in this letter are true and correct to the best of my knowledge.

Signatures

Name: [Your Full Name]
Date: [Date]
Signature: ___________________________

Third-Party Confirmation (Optional)

Confirming Person: [Name]
Relationship: []
Phone/Email: []
Statement: I confirm to the best of my knowledge that [Your Name] currently has no income.

Signatures

Confirming Person Signature: ___________________________
Date: [Date]

Notary / Notarization (Optional)

State of [State]
County of [County]

On [Date], before me, [Notary Name], personally appeared [Your Full Name] (and [Confirming Person Name], if applicable), known to me (or satisfactorily proven) to be the person(s) whose name(s) are subscribed to this letter, and acknowledged that they executed it for the purposes stated.

Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________