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Annexure 2

SELF-DECLARATION BY HOUSE OWNER WHO DOES NOT HAVE PAN


1. Full name of the house owner

2. Address of the house owner

3. Amount of rent charged per month 4. Are you assessed to tax 5. Reason for not having PAN 6. Document attached for proof of address . Verification I, ___________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief. Ration Card / Passport / Driving License / electricity bill / telephone bill / bank statement

Signature of House Owner Place: Date:

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