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Confirmation of Earnings

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PETITION TO ESTABLISH DEATH OF ACCIDENT OR DISASTER VICTIM

Approved, SCAO

STATE OF MICHIGAN

PROBATE COURT

COUNTY OF

JIS CODE: PED

FILE NO.

In the matter of , presumed decedent

1. I am interested in this matter as

2. Presumed decedent information:

Date of birth
Last four digits of SSN
Name of foreign country if citizen of foreign country
Domicile:
County
State

3. This petition is being filed not less than 63 days nor more than 7 years after the accident/disaster.

4. The presumed decedent apparently died as result of an accident or a disaster which occurred on or about

Date
and Time
, if known, within this county.

a. at

b. upon or within the Great Lakes or their connecting waters, at a location adjacent to this county.

c. at a location outside of Michigan or its adjoining waters but the presumed decedent was domiciled in this county at the time of death.

5. The facts and circumstances concerning the accident or disaster are as follows:

6. The reasons I believe the presumed decedent died in the accident or disaster are as follows:

(PLEASE SEE OTHER SIDE)
Do not write below this line - For court use only

7. The body of the presumed decedent is unidentifiable.

has disappeared.

8. The name, age, and relationship to the presumed decedent and the address of each person known or believed to be an heir of the presumed decedent are as follows:

NAME
AGE
RELATIONSHIP
RESIDENCE

9. Of the above heirs, the following are under legal disability:

NAME
DISABILITY
REPRESENTED BY:
(name, address, capacity)

I REQUEST that the court establish the location of the accident or disaster, the cause, and date of the presumed decedent's death, and, if possible, the time of death.

I declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the best of my information, knowledge, and belief.

Date

Petitioner signature

Attorney signature

Petitioner name (type or print)

Bar no.

Attorney name (type or print)

Address

Address

Telephone no.

City, state, zip

Telephone no.

City, state, zip

Enter text✕
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What a Confirmation of Earnings Is and when it’s used

A Confirmation of Earnings is a written statement, typically provided by an employer or payroll administrator, that verifies an individual’s income for a specific pay period or reporting timeframe. Lenders, landlords, government agencies, and benefit administrators commonly request it to confirm gross pay, net pay, pay frequency, and employment status. The document usually identifies the employer, the employee, pay period, year-to-date totals, and an authorized signature; it may be delivered as a paper form or an electronically signed PDF under U.S. e-signature law.

Why a clear Confirmation of Earnings matters

A precise Confirmation of Earnings speeds approvals, reduces disputes, and provides an auditable record for underwriting, tenancy or benefits determinations. When properly completed and retained it supports compliance with recordkeeping obligations and can be executed electronically consistent with ESIGN and applicable state law.

Why a clear Confirmation of Earnings matters

Who commonly prepares and relies on these confirmations

The Confirmation of Earnings is prepared by payroll or HR and requested by third parties that must verify income.

  • Employers and payroll teams who certify wages, deductions, and employment status for third-party requests.
  • Lenders and mortgage underwriters verifying income for loan underwriting and debt-to-income calculations.
  • Government agencies and benefits administrators confirming eligibility for public assistance or unemployment benefits.

Accurate preparation reduces downstream requests and protects the employer and recipient from disputes.

Stepwise process to prepare and deliver the form

Follow these sequential steps to complete a compliant, verifiable Confirmation of Earnings.

  • 01
    Gather records: Collect payroll reports, year-to-date summaries, and employment status.
  • 02
    Populate fields: Enter names, pay period, gross and net amounts precisely.
  • 03
    Certify accuracy: Have an authorized payroll or HR representative review the figures.
  • 04
    Sign and deliver: Sign (electronic or wet) and send to the requesting party with retention copy.

How electronic submission typically flows

Electronic workflows reduce turnaround and preserve an audit trail; a standard flow includes these steps.

  • Upload document: Sender uploads PDF or DOCX with fillable fields.
  • Place fields: Designate signature, date, and text fields for the signer.
  • Signer receives: Recipient gets a secure link or email to review and sign.
  • Audit trail stored: Platform records timestamp, IP, and authentication details.

Recommended digital workflow settings

Configure these settings to ensure consistency, security, and repeatability for electronic confirmations.

Field Configuration
Authentication Email plus optional SMS or knowledge-based authentication
Templates Create reusable templates for common request types
Conditional fields Show payroll detail only when the requester selects full verification
Notifications Email on sign and completion with attached PDF

Platform and file requirements for eSubmission

Use a platform that supports PDF, DOCX imports, strong encryption, and clear audit logs.

  • Supported formats: PDF and DOCX preferred
  • Integrations: CRM and ERP connectors available
  • Authentication: Email, SMS, or stronger options

Verify that your vendor supports required compliance (HIPAA BAA if healthcare) and preserves tamper-evident records and audit trails for future review.

Essential components of a professional Confirmation of Earnings

A complete confirmation balances clarity, verifiability, and auditability; include these six elements.

Employer header

Legal employer name, address, and payroll contact. This identifies the entity attesting to the figures and provides a point of contact for follow-up verification or audit.

Employee details

Full legal name, job title, employee ID, and dates of employment. Accurate identity data prevents mismatch during lender or benefits review and ties the earnings to the correct individual.

Pay period and totals

Clear start/end dates and gross earnings for the period plus year-to-date totals. Distinguish regular wages from bonuses, overtime, or one-time payments for correct income assessment.

Deductions summary

Brief listing of major deductions (taxes, retirement, insurance) and the net amount. This helps recipients understand take-home pay versus gross obligations.

Certification statement

A short attestation that the information is true under the signatory’s knowledge, including signatory name and title. That statement supports reliance and may be used in audits.

Signature block

Date, printed name, title, and signature area for an authorized representative. Indicate whether an electronic signature is accepted and include an authentication trail.

Security and compliance features to include or verify

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit trail: Timestamp, IP, and action log retained
Access controls: Role-based access and user authentication
HIPAA support: BAA required for health data
21 CFR support: Compliance available for FDA-regulated records
Certifications: SOC 2 Type II and ISO 27001

Common preparation errors to avoid

  • Entering the wrong pay period or mixing payroll cycles, which can understate or overstate income and lead to lender re-requests.
  • Mismatched names, TINs, or employee IDs between the confirmation and supporting payroll records, triggering identity and tax issues.
  • Failing to include an authorized signatory name and contact, causing verification delays or rejections by the recipient.
  • Using informal language or vague terms such as 'approximate earnings' instead of precise dollar amounts, which undermines reliance.

Potential consequences of inaccurate or fraudulent confirmations

Tax implications: Incorrect income statements may trigger IRS inquiries or backup withholding
Fraud exposure: Deliberate falsification can lead to civil or criminal liability
Contract denial: Lenders or lessors may deny applications based on unreliable data
Privacy breach: Improper handling of payroll data risks HIPAA or privacy violations
Operational delays: Missing information causes repeated verification cycles
Reputational harm: Frequent errors erode trust with partners and regulators

Typical timelines and processing expectations

Set clear internal SLAs for responding to verification requests and retaining completed confirmations.

Response SLA to request:

Provide confirmation within 5–10 business days of receipt, faster for mortgage closings.

Urgent lender requests:

Underwriting may require same-day or 24–48 hour turnaround for loan closings.

Record retention baseline:

Retain payroll records to support confirmations per applicable retention rules.

Electronic delivery:

E-submission typically instant; signed PDF delivered on completion.

Correction window:

Notify recipients immediately and reissue corrected confirmations when errors are discovered.

Sample eSignature pricing and feature comparison for confirmations

Compare starting prices and key capabilities relevant to Confirmation of Earnings workflows; signNow appears first per vendor order requirements.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day free trial No No Yes, limited trial Yes, limited trial
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Practical examples of common confirmation requests

Below are two common scenarios showing how a Confirmation of Earnings is used and delivered.

Mortgage Underwriting

A borrower supplies a payroll-signed confirmation for a 30‑day period

  • Lender verifies gross monthly income and year-to-date totals
  • Accurate, signed confirmations with employer contact reduce underwriting re-requests and speed loan closings by days.

Tenant Screening

An applicant provides a two-week earnings confirmation to a property manager

  • Manager confirms net pay and employment status
  • Clear confirmations avoid follow-up calls and help landlords assess rental affordability consistently.

Frequently asked questions about Confirmation of Earnings

Answers to common legal, procedural, and technical questions about preparing, signing, and delivering confirmations.


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