Affidavit for Affidavit to Be Furnished: Format
Reference draft used in Indian courts — replace the blanks with your own case details.
AFFIDAVIT TO BE FURNISHED TO THE INCOME TAX AUTHORITIES FOR OBTAINING INCOME TAX CLEARANCE CERTIFICATE.
Affidavit of Mr/Ms.____________________________S/o,/D/o Mr.__________________________________
aged_________________________________________ years,
resident of ______________________________________.
I, the above named deponent, solemnly affirm and declare as under:
.That I am fully conversant with the facts deposed to below.
.That I am holder of Indian Passport bearing No. _________dated _______.
.That I am permanent resident of _____________.
.That my sources of income are Income from Salary, Income from business and Income from House Property.
.That I am duly filing my income tax returns and have paid all my tax liabilities on my total income till the Assessment Year _________
That I have no other source of income.
DEPONENT
Signed at _____________ this ___day of ____,
VERIFICATION I, _________________________________the above named deponent do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated. Verified at _______this______day of ______
DEPONENT
Using this format
This is a reference draft reproduced for study and adaptation. Court rules, court fees and the correct forum vary with the facts and the value of the claim, so have the document checked and filed by an advocate. A defective application can be returned or dismissed even when the case itself is good.
Our Tax & Regulatory team drafts and files these documents before the Calcutta High Court, city civil courts, magistrate, family and consumer courts in Kolkata. Our tax team handles GST, income tax notices, appeals and compliance.
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Disclaimer: this page is a sample format reproduced for reference and study. It is not legal advice and does not create an advocate–client relationship.