SELF-EMPLOYED INCOME VERIFICATION I hereby attach copies of my individual federal and state income tax returns for the immediately preceding three calendar years for which income tax returns could have been filed (or, if not filed, were not required to be filed); and I hereby certify the information shown on my income tax returns is true and complete to the best of my knowledge and any income tax returns not filed were not required to be filed.
Name (Printed) Signature STATE OF NEW MEXICO COUNTY OF ) ) )ss. Date
Subscribed and sworn to before me this ______ day of __________________, 19___.
Notary Public [NOTARY SEAL] My Commission Expires:
PLEASE SEND TO: