Income declaration form

I/We, VINOD KUMAR Son/Daughter/wife/husband of --------- and resident/s of (full address) VILL PATHARA ENGLISH
POS.ODHANPUR ,BHADO,VILL PATHARA ENGLISH POS.ODHANPUR ,BHADO,Nawada,BIHAR-805123 do hereby solemnly affirm and declare as
under:-

a)I /We have applied for Housing Loan under EWS/LIG Scheme of Pradhan Mantri Awas Yojana Credit Linked Subsidy Scheme

b)That I/we am/are citizen of India.

c) That annual income of my/our family from all sources is Rs. 2990000.00 (Rupees Twenty-Nine Lakhs Ninety Thousand )

1.I/We certify that the above information given by me/us are true.

3.In case the information furnished by me/us are found false, the credit subsidy awarded to me/us may be recovered with penal interest
and I/we will be liable to proceeded legally for furnishing false information.

Applicant Signature Co-Applicant Signature

Date : Date:
Place : Chennai Place : Chennai

Aug 29, 2023, 11:36 AM