Santa Ana, CA · Orange County

No notary required

Certification of Zero Income

Applicants for the City of Santa Ana’s down payment assistance use this certification to report that they have no income or contributions.

What this form is

This certification helps the City of Santa Ana determine an applicant’s eligibility for down payment assistance. The applicant certifies that they receive no income or contributions from listed sources, including employment, benefits, support, or rental income. Applicants must report changes in writing while being considered for assistance, and sign and date the certification under penalty of perjury.

Who needs it

Applicants seeking the City of Santa Ana’s down payment assistance who currently have no income or contributions need to complete this certification.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer certifies under penalty of perjury and signs and dates it, with no notarized attachment identified.

How to submit this form

  1. 1

    Download The Form

    Download the City of Santa Ana Certification of Zero Income.

  2. 2

    Complete The Certification

    Review the listed income and contribution sources and certify whether you currently receive any.

  3. 3

    Sign And Date

    Sign and date the certification, which states that the information is true and correct under penalty of perjury.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Certification of Zero Income?
No. The document has no notary block and asks the signer to sign and date it. The signer certifies under penalty of perjury; no notarized attachment is identified.
Who uses the Certification of Zero Income?
Applicants for the City of Santa Ana’s down payment assistance use it to certify that they currently receive no income or contributions.
What information does the certification ask about?
It asks the applicant to certify they have no income or contributions, including wages, benefits, support, rental income, or bills paid by someone outside the household.
How do I submit the Certification of Zero Income?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Certification of Zero Income doesn’t need a notary — but if you have another Santa Ana form that does, a commissioned online notary can help.