Form Sf-15 - Affidavit Of Non-Applicant Household Member
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1
2Georgia Dream Homeownership Program
Affidavit of Non-Applicant Household Member
(Submit with Underwriting Package)
This form is to be completed and sworn to by any adult (including the applicant’s spouse) who will not sign the Note but
will live in the property. Co-signers not intending to live in the property need not execute this form.
CURRENT ANNUAL HOUSEHOLD INCOME
Indicate the total annual income for any adult (18 years of age or older) who will live in the property, but who is not
an applicant:
Name of Non-Applicant:__________________________________________________________
Gross full-time salary including overtime and bonuses (including all regular and special pay
and allowances of members of the Armed Forces, whether or not living in the dwelling, who
are the head of the family or spouse)
$
Employer Name: __________________________________________
Date of Employment: From_______________ To: ________________
Employer Name: ___________________________________________
Date of Employment: From_______________ To: ________________
Gross part-time salary
$
Dividends and interest; income from royalties, trusts, and investments
$
Net business or rental income, or other net income from real or personal property
Periodic payments from Social Security (including that received on behalf of children)
$_________________
annuities, insurance policies, retirement funds, pensions, disability or death benefits, and
other retirement benefits
All housing allowances and similar allowances which are not reimbursement for job-related
$_________________
expenses
$_________________
Payments in lieu of earnings, such as unemployment and disability compensation, worker’s
compensation and severance pay
Alimony and child support, and regular contributions or gifts from persons not residing in the
$
household
Public assistance and welfare payments; relocation payments
$
TOTAL ANNUAL INCOME *
$
*
Transfer this amount to Form SF-12, “Application Affidavit,” page 3.
I have reviewed all of the statements made in this Affidavit. Nothing has come to my attention that would lead me to
believe that any of the statements made in this Affidavit are inaccurate or incomplete.
The undersigned being duly sworn, deposes and says under oath and seal:
By affixing my signature below, I certify that I have read and understood the definition of annual income above and
have disclosed all my income.
Page 1 of 2
FORM SF-15
SG Update 2015-1
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