Hidalgo County, TX · Hidalgo County
Applicant’s Statement of Farm/Self-Employed
This WIC income statement is for applicants who are self-employed or self-employed farmers to report business income and expenses.
At a glance
- Issued by
- City of Hidalgo County · Hidalgo County, Hidalgo County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- hidalgocounty.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The WIC Applicant’s Statement of Farm/Self-Employed records income for a stated period. Self-employed applicants complete Section A, while self-employed farmers complete Section B. The form asks for business details and gross receipts, operating expenses, and net income. By signing, the applicant affirms that the income information is accurate and acknowledges the consequences stated for deliberately omitting or providing false information.
Who needs it
WIC applicants who are self-employed or self-employed farmers use the form to report income and expenses for a specified period.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer affirms the income information is accurate and signs the statement.
How to submit this form
- 1
Download the Form
Download the Applicant’s Statement of Farm/Self-Employed PDF.
- 2
Complete the Applicable Section
Enter the period, applicant and business details, then complete Section A if self-employed or Section B if a self-employed farmer.
- 3
Gather Attachments
The document does not list attachments.
- 4
Submit to the County
Submit the form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- What is the Applicant’s Statement of Farm/Self-Employed?
- It is a WIC form for reporting income over a stated period. It asks for business information, gross receipts, operating expenses, and net income.
- Who completes Section A or Section B?
- The document directs self-employed individuals to complete Section A and self-employed farmers to complete Section B.
- Do I need a notary for the Applicant’s Statement of Farm/Self-Employed?
- No. The form has no notary block; the signer affirms the income information is accurate and signs the statement.
- How do I submit the Applicant’s Statement of Farm/Self-Employed?
- The document does not give submission instructions. Submit it to the county department named on the form, and check the county website for current contact details.