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Proof of Income Affidavit

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Title

Applicant Name

Relation *

Father's / Husband's Name *

Age (years) *

Address *

Occupation / Engagement *

Monthly Income (₹) *

Monthly Income (in words) *

Annual Income (₹) *

Annual Income (in words) *

Income Derived From *

Additional Source(s) of Income

Submission Before (Authority)

Purpose

Verified On

EDrafted

PROOF OF INCOME AFFIDAVIT

I, Miss., S/o ____________, aged about ____________ years, R/o ____________, do hereby solemnly affirm and declare as under:

That I am residing at the above-mentioned address and am engaged in ____________.
That my approximate monthly income from all sources is ₹____________ (Rupees ____________ only).
That my approximate annual income from all sources is ₹____________ (Rupees ____________ only).
That my income is derived from ____________.
That I have no other regular source of income / the following additional source(s) of income: ____________.
That this affidavit is being executed as proof/declaration of my income for submission before ____________ for ____________ purpose.
That the income particulars stated above are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom.

DEPONENT

VERIFICATION

I, Miss., the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to my knowledge and belief and nothing material has been concealed therefrom.

Verified at ____________ on ____________.

DEPONENT

Signature:

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