Certificate No.

: 3761/2023

Taluka Panchayat, Sankheda

Chhotaudepur

Date :: 05/08/2023

Government of Gujarat
Income Certificate

This is to certify that Shri Bhaskarbhai Ambubhai Patel is the son of Shri Ambubhai. He is a
resident of Manjrol Village Manjrol Taluk Sankheda District Chhota Udepur. His family's total annual
income from all assets in the last financial year is Rs. 700000 digit equals seven lakh rupees. Details
of which are given below.b

1. Applicant's own income Rs.700000 .

2. Income of applicant's parents Rs.0 .
3. Income of other family members Rs.0 .

Total Annual Income Rs.700000 .

The above certificate is issued on the basis of the following evidences.

1. Ration Card 2 Copy of Electricity Bill

3 True copy of house tax bill 4 Copy of Election Card

5 Affidavit submitted with the application 6 Certificate of Talati

Term And Conditions

(1) This certificate will be valid for three years including the financial year of issue.
(2) It shall be the responsibility of the concerned applicant/family to declare any increase in
the income of the concerned family during the period of three years.

Seal of Office Taluka Development Officer

Taluka Panchayat,
Sankheda