Self-Employment Declaration Letter

I, ___________________________________________, confirm that I have been self-

employed for _________ years as a _________________________, under the business
name of _______________________________________.

The nature of my business is as follows:

- ________________________________________________________
- ________________________________________________________
- ________________________________________________________

I operate my business out of the following address:

________________________________________________________
________________________________________________________

My gross income for 2008 was $_____________________.

My expected gross income for 2009 will be $____________________.

Signed,

____________________________________ ___________________________
(Signature) (Date)