Supplemental Alternative Documentation of Income (for use when other income documentation is not available) Completed Form Examples and Samples
Explore detailed examples and samples of a filled Supplemental Alternative Documentation of Income form. See how self-employed individuals, freelancers, and others can use this form to provide proof of income for loan applications when traditional documentation is unavailable.
Supplemental Alternative Documentation of Income Example – Self-Employed Freelancer
How this form was filled:
This example shows how a self-employed freelance graphic designer would complete a Supplemental Alternative Documentation of Income form for a loan application. It details the nature of the business, provides a breakdown of gross receipts for the past two years (2024, 2025) and the current year-to-date, and includes a clear explanation for why this alternative documentation is being used in place of traditional W-2s.
Information used to fill out the document:
- Borrower Name: Jane A. Smith
- Property Address: 456 Oak Avenue, Anytown, CA, 90210
- Business Name: Creative Canvas Designs
- Nature of Business: Freelance Graphic Design Services
- Business Start Date: 03/01/2020
- Business Address: 789 Pine Street, Suite 100, Anytown, CA, 90210
- Income from 2024: $75,000 (Gross Receipts)
- Income from 2025: $82,500 (Gross Receipts)
- Current Year-to-Date Income (as of 05/2026): $35,000 (Gross Receipts)
- Explanation for Use of Form: As a self-employed freelancer, my income is derived from multiple clients on a project basis and I do not receive W-2s. This document, supported by business bank statements and a Profit & Loss statement, accurately reflects my earnings.
- Signature of Borrower: Jane A. Smith
- Date: 05/15/2026
What this filled form sample shows:
- Clearly stated business information including name, nature, and start date.
- Detailed annual income breakdown for the two most recent tax years.
- Inclusion of current year-to-date income to show ongoing business activity.
- A compelling explanation for use, justifying the need for alternative documentation.
- Appropriate for freelancers, independent contractors, and gig economy workers.
Form specifications and details:
| Form Name: | Supplemental Alternative Documentation of Income |
| Use Case: | Self-Employed/Freelancer income verification for a mortgage application. |
| Income Type: | Non-W-2 / Freelance Project-Based |
Created: February 05, 2026 09:51 PM
