2021-2022

DOCUMENTS TO BE FURNISHED FOR INCOME CERTIFICATE

ON LINE APPLICATION BY HEAD OF THE FAMILY AMIL Y MEANS A
HOUSEHOLD AS PER VOTER CARD) MENTIONING PURPOSE FOR NCESSTY. (Weh
Site : htlp,//edistrict, wb,gov,v/pace/logindo) 3 PAGS O
BE PRODUCED) APPICATION WIL HAVE iO
2. SEL ATESTED PHOTO COPY O VOTR CARD,
RATTON CARD, AADI tAR CARD,
PAN CARD, DEATH CIRTIFICATLOI RLOURED), (EPIC CARD OF
MEMBERS OFAFAM|LY). ALI, THE
3. DOCUMENTS PHOTO COPY) OF PURPOSE TO BE SUBMITTED.
4. INCOME TX RETURN for the curren AssesNment year (2021-20)22)
Including ITR SAHAJ/
SUGAM INDIAN INCOME TAX RETURN, 26 AS |Lust 3 years of ull family memhers
(excluding memberske18 age))
5. JNCOME CERTIFICATE ONCOME MEANS FAMIL.Y INCOME I.E. FATIIEK'S INCOME +
MOTHER'S INCOME +0THER FAMIL YMEMIER'S INCOME) FROM MLA/MAYOR /
COMMISSIONER /SECRETARY / FINANCE OFFICER COF D.M.C,
6. SELF ATTESTED PHOTO COPYOF PAYSLIP, FORM - I6,, TRADE LICENSE.
7. INCOME RELEVANT SUPPORTING DOCUMENTS LIKE COPY OF THE PASS BOOK
(FIRST PAGE & LAST PAGE AFTER UPDATION) &OTHERS HIAVE TO BE PRODUCELD
DURING ENQUIRY.
8, AN AFFIDAVIT BY THE APPLICANT SWORN BEFORE JUDCIAL MAGISTRATE /
EXECUTIVE MAGISTRATE REGARDING INCOME DETAILS OF HIS FAMIILY:
MODEL AFFIDAVIT
I, Sri (Name), aged about years, S/O / D/O (Father's name) by occupation
(Profession) presently residing at P.O. P.S.
Dist.- Paschim Bardhaman, W.B. do hercby solemnly affirmn &
declare as follows:
Iam a citizen of India & permanent resident in the state of W.B.
Ido hereby swear that total income of my family from all sources including the
income of other member of my family during the year ( 20.. - 20...... ) is Rs.
(amount in figure and words).
There is no others source of income of my family except the aforesaid amount.
That,the statement made above is true to the best of my knowledge && belief.
In cáse of any discrepancy arisen out of the aforesaid statement found false / untrue
cither wholly or any part thereof, Ido hereby bind myself liable for any sorts of penalty
and or prosecution in the court of law.
Iswear & sign this affidavit on day of before the Judicial /
Executive Magistrate, Durgapur Judicial / ExecutiveCourt.
Jdentified by me,
Declarant
Advocate.
f 91G1201JNCOME 2019ncome Cetificte Docunents Proof doe, I