Income Tax Affidavit West Virginia Housing Development Fund printable pdf download

Income Tax Affidavit West Virginia Housing Development Fund

Form AF-118

Updated 8/99

INCOME TAX AFFIDAVIT

WEST VIRGINIA HOUSING DEVELOPMENT FUND

814 Virginia Street, East

Charleston, West Virginia 25301

STATE OF WEST VIRGINIA,

COUNTY OF _______________________, to-wit:

The undersigned,

____________________________,

being duly sworn, deposes and says:

I was not required by law to file a federal income tax return for the following year(s)

____________________________, for the following reason(s)

I acknowledge that this Affidavit will be relied upon for purposes of determining my

eligibility for a mortgage loan.

I further acknowledge that if any information or

certification I provided contains any material misstatement, then my application may be

rejected without need for any further action of the part of the West Virginia Housing

Development Fund.

I acknowledge, under penalties of perjury of the laws of the United States and the

State of West Virginia, that I have examined this Affidavit, including any accompanying

documents, and to the best of my knowledge and belief, the facts presented in support

thereof are true, correct and complete.

FURTHER, I STATE NOT.

(Seal)

Signature of Applicant

Date

The foregoing instrument was acknowledged before me this

day of _______,

___, by

and ______________________.

My commission expires

NOTARY PUBLIC

Income Tax Affidavit West Virginia Housing Development Fund