(To be issued on the Letter Head of Chartered Accountant)
Date: ___ / ___ / ______
TO WHOMSOEVER IT MAY CONCERN
This is to certify that we, M/s __________________ & Co., Chartered Accountants, having Firm Registration No. ____________, have examined the books of accounts, supporting records, Income Tax Returns, financial statements, bank statements and other relevant documents/information produced before us by:
Name of the Assessee / Applicant: ____________________________
Fatherโs Name: ____________________________________________
Address: _________________________________________________
PAN: _____________________
Based on the verification of the aforesaid records and according to the information and explanations furnished to us, the details of income and source thereof for the Financial Year ____________ (Assessment Year ____________) are as under:
DETAILS OF SOURCE OF INCOME
| Sr. No. | Particulars | Amount (INR) |
| 1 | Income from Salary | __________ |
| 2 | Income from Business / Profession | __________ |
| 3 | Income from House Property | __________ |
| 4 | Income from Capital Gains | __________ |
| 5 | Income from Interest / Other Sources | __________ |
| Gross Total Income | __________ | |
| Less: Deductions under Chapter VI-A | __________ | |
| Total Taxable Income | __________ |
Further, it is certified that the above-mentioned income is derived from lawful and identifiable sources as per the records and documents produced before us and relied upon during the course of our verification.
This certificate has been issued upon the specific request of the above-named person for the purpose of ____________________________________________ and should not be used or relied upon for any other purpose without our prior written consent.
We neither guarantee nor certify the authenticity of transactions beyond the records and information made available for our verification.
For M/s __________________ & Co.
Chartered Accountants
Firm Registration No.: ____________
<br>
Signature: ___________________________
(Name of Chartered Accountant)
Membership No.: ____________________
Place: ______________________________
Date: _______________________________
UDIN: ____________________________