Zero Income Verification Form
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					                                   Zero Income Verification Form

I, (First, Middle and Last Name), do hereby certify that I am currently receiving no income from any

Please Answer The Following Questions:
                                                       Monthly Cost             Source for Payment

Cost per month of supplies not covered by
food stamps such as paper products,
cleaning supplies, personal care items,
etc. per month?                                     $______________ __________________________
Cost of utilities per month?                        $______________ __________________________

Do you have a telephone?          Yes [   ]        No [   ]

Cost of telephone per month?                       $______________ __________________________

Cost of medical expenses per month?                $______________ __________________________

Cost of clothing per month:

    Cost of purchasing clothes?                    $______________ __________________________

    Cost of laundering clothes?                    $______________ __________________________

Do you own an automobile?         Yes [   ]        No [   ]

    Cost of insurance per month?                   $_________
Description: A zero income verification form is a document filled by an individual who has no income or no source of income in order to apply for assistance to meet his expenses. The form lists the details of expenses incurred by the individual though he has no income.
PARTNER William Glover
I received my B.B.A. from the University of Mississippi in 1973 and my J.D. from the University of Mississippi School of Law in 1976. I joined the firm of Wells Marble & Hurst in May 1976 as an Associate and became a Partner in 1979. While at Wells, I supervised all major real estate commercial loan transactions as well as major employment law cases. My practice also involved estate administration and general commercial law. I joined the faculty of Belhaven College, in Jackson, MS, in 1996 as Assistant Professor of Business Administration and College Attorney. While at Belhaven I taught Business Law and Business Ethics in the BBA and MBA programs; Judicial Process and Constitutional Law History for Political Science Department); and Sports Law for the Department of Sports Administration. I am now on the staff of US Legal Forms, Inc., and drafts forms, legal digests, and legal summaries. I am a LTC and was Staff Judge Advocate for the Mississippi State Guard from 2004-2008. I now serve as the Commanding Officer of the 220th MP BN at Camp McCain near Grenada, MS. I served on active duty during Hurricanes Dennis (July, 2005), Katrina (August, 2005) and Gustav in 2008. I played football at the University of Mississippi in 1969-1971 under Coach John Vaught. I am the author of the Sports Law Book (For Coaches and Administrators) and the Sports Law Handbook for Coaches and Administrators (with Legal Forms),