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Declaration

Self-Declaration of Annual Income

A general self-declaration stating an individual's total annual income and its sources for a given financial year.

SELF-DECLARATION OF ANNUAL INCOME

To be submitted to [Bank / Institution / Authority Name] for the purpose of [Loan / Admission / Verification / Scheme].

I, [Full Name], son/daughter/wife of [Guardian Name], residing at [Full Address], holding PAN [PAN Number] / Aadhaar [Aadhaar Number], do hereby solemnly declare as under:

I hereby declare that my total annual income for the financial year [Financial Year] is Rs. [Amount] (Rupees [Amount in Words] only), derived from [Salary / Business / Profession / Agriculture / Other Sources]. I confirm that I have no other source of income except as stated above.

I understand that this declaration is made for official purposes and that furnishing false information may attract action under applicable law. The particulars given above are true and correct to the best of my knowledge and belief.

_____________________
[Signature of Declarant]
[Name]
Place: [Place]    Date: [DD/MM/YYYY]

Before you use it — fill in / check

  • Full Name
  • PAN Number
  • Full Address
  • Financial Year
  • Annual Income Amount
  • Source of Income

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.