DECLARAO DE RENDIMENTO

Eu, ___________________________________________________________________,
RG.: __________________________, CPF.: _______________________________, residente
_____________________________________________________________________________,
declaro

para

os

devidos

fins

de

____________________________________,

direito

que

possuindo

trabalho
renda

informalmente

mensal

como

aproximada

de

R$__________________(_______________________________________________________).

Caxias, _______ de ____________________ de 2013.

__________________________________________________
Assinatura

TESTEMUNHAS:
NOME:_______________________________________________________________________
ENDEREO: __________________________________________________________________
RG.: ___________________________________ CPF.: ______________________________
ASSINATURA: ___________________________________________________________

NOME:_______________________________________________________________________
ENDEREO: __________________________________________________________________
RG.: ___________________________________ CPF.: ______________________________
ASSINATURA: ___________________________________________________________