1. I hereby certify that my household does not receive income from any of the following sources:
a. Wages from employment (including commissions, tips, bonuses, fees, etc.).
b. Income from operation of a business.
c. Rental income from real or personal property.
d. Interest or dividends from ass et s.
e. Social Security payments, annuities, insurance policies, retirement funds, pensions, or death benefits.
f. Unemployment or disability payments.
g. Public assistance payments.
h. Periodic allowances such as alimony, child support, or gifts received from persons not living in my household.
i. Sales from self-employed resource (Avon, Mary Kay, eBay, etc.) .
j. Any other source not named above.