Self-Declaration Letter 
                            This form needs to be filled out by any parent or guardians who are unemployed, self-employed, or 
                            who, for any reason, do not have tax form, W-2 forms, check stubs, or documents to verify their income. 
                             
                            I,                                                                                , claim my income or support comes from 
                                   □ Self-employment 
                                          (Explain)                                                                                                                                                            
                                   □ Seasonal employment/ Irregular employment, Paid cash (circle which applies) 
                                   □ Parent / Family 
                                   □ Other                                                                                                                                                                     
                             
                            That Income or support is equal to an average of $                                                                          per month. 
                            Reason(s) for no-documentation given: 
                                                                                                                                                                                                 
                                                                                                                                                                                                 
                                                                                                                                                                                                               
                             
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