Model Werkgeversverklaring (NHG werkgeversverklaring 2024-1 2.0, geldig vanaf 01-03-2024) Completed Form Examples and Samples

Find clear, filled-in examples of the official Model Werkgeversverklaring (NHG werkgeversverklaring 2024-1 2.0, geldig vanaf 01-03-2024). Our samples cover various scenarios like permanent contracts, temporary contracts with an intentieverklaring, and declaring bonuses. View our correct examples to help with your mortgage application.
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Completed sample of the Model Werkgeversverklaring (NHG 2024-1 2.0) for an employee on a permanent contract with a 13th month and performance bonus.

Model Werkgeversverklaring (2024-1 2.0) Example: Permanent Contract & Bonus

How this form was filled:

This is an example of a correctly filled 'Model Werkgeversverklaring' (version 2024-1 2.0) for an employee with a permanent employment contract ('vast dienstverband'). It shows how to declare a fixed annual salary, holiday allowance, a guaranteed 13th-month bonus, and variable performance-based pay from the last 12 months. Since the contract is permanent, an 'intentieverklaring' is not required.

Information used to fill out the document:

  • Naam werknemer: Eva Jansen
  • Adres werknemer: Zonnebloemstraat 15, 3512 AB Utrecht
  • Geboortedatum werknemer: 20-08-1992
  • Naam werkgever: Innovatech Solutions B.V.
  • Adres werkgever: Kennispark 100, 5612 AZ Eindhoven
  • Contactpersoon werkgever: Dhr. P. de Vries, HR Manager
  • Functie: Senior Software Developer
  • Datum indiensttreding: 01-05-2022
  • Aard van het dienstverband: Vast dienstverband (permanent contract)
  • Bruto jaarsalaris: € 65,000.00
  • Vakantietoeslag: Ja, € 5,200.00 (8%)
  • Vaste 13e maand: Ja, € 5,416.67
  • Vaste eindejaarsuitkering: Nee
  • Onregelmatigheidstoeslag: Nee
  • Overwerkvergoeding: Nee
  • Provisie: Nee
  • Variabele beloning (laatste 12 mnd): € 4,500.00
  • Lopend loonbeslag: Nee
  • Datum verklaring: 15-02-2026

What this filled form sample shows:

  • Demonstrates filling for a 'vast dienstverband' (permanent contract), making an 'intentieverklaring' unnecessary.
  • Clearly separates fixed income components like salary and holiday allowance from variable ones.
  • Includes a fixed 13th month and a variable performance bonus, a common scenario for mortgage applications.
  • Shows the correct format for dates and financial figures as required by the NHG form.

Form specifications and details:

Formulier: Model Werkgeversverklaring (NHG werkgeversverklaring 2024-1 2.0)
Geldig vanaf: 01-03-2024
Gebruiksscenario: Werknemer met een vast dienstverband en aanvullende vaste/variabele inkomsten.
Doel: Aanvraag hypotheek met Nationale Hypotheek Garantie (NHG).
Created: February 05, 2026 09:06 PM
Completed sample of the Model Werkgeversverklaring (NHG 2024-1 2.0) for an employee on a permanent contract with a 13th month and performance bonus.