FORM No.

III
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Cuttack
Miscellaneous Certificate Case No E-INC/2022/119834
INCOME CERTIFICATE
(Valid for the Financial Year 2021-2022)

This is to certify that Shri ASHOK KUMAR SAHOO son of Smt BIDULATA SAHOO and Shri SUKDEV SAHOO, is a
native/permanent resident of the district of CUTTACK in the state of Odisha and he or his family is presently residing at
Village/town JOBRA P.S MALGODOWN Tahasil Cuttack in the district CUTTACK of in the state of Odisha has an
annual family income of Rs. 60000.00 (Rupees Sixty Thousand ) only from the sources specified below.
Sl Income(in
Source
No. Rs.)
Agriculture (including plantation, horticulture, dairying, poultry,
1 fisheries etc.)
2 Salary/ Wages/ Renumeration etc. 60000.00
3 Trade/ Business/ Profession (Please Specify)
4 Other Sources(Please Specify)
Total 60000.00

dgSign2031LocnDyna
Signature of the Revenue Officer
21/02/2022

**** This is a Digitally Signed Document And Does Not Require Signature ****

NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification , Agency /Department / Office may visit https://edistrict.odisha.gov.in/
(iv) Tampering of this Certificate will attract penal action.

Reference No: E-INC/2022/119834 To View: https://edistrict.odisha.gov.in/t/kGTkc/1F3F7F8F Token No: 1F3F7F8F