Affidavit to the Income Tax Authorities for an Income Tax Clearance Certificate (India) by OLL

Open Legal LibraryUpdated 19 Oct 2026

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AFFIDAVIT TO BE FURNISHED TO THE INCOME TAX AUTHORITIES FOR OBTAINING INCOME TAX CLEARANCE CERTIFICATE.

 

Affidavit of Mr/Ms.____________________________

S/o,/D/o Mr.__________________________________

aged_________________________________________ years,

resident of ______________________________________.

I, the above named deponent, solemnly affirm and declare as under:

That I am fully conversant with the facts deposed to below.

That I am holder of Indian Passport bearing No. _________dated _______.

That I am permanent resident of _____________.

That my sources of income are Income from Salary, Income from business and Income from House Property.

That I am duly filing my income tax returns and have paid all my tax liabilities on my total income till the Assessment Year _________

That I have no other source of income.

DEPONENT

Signed at _____________ this ___day of ____,

   VERIFICATION

I, _________________________________the above named deponent do hereby verify on oath that the contents of the affidavit above are true to my personal knowledge and nothing material has been concealed or falsely stated. Verified at _______this______day of ______

DEPONENT

 

This is a legal affidavit used in India to confirm that an individual has paid all outstanding tax liabilities. It is specifically designed to support an application for an Income Tax Clearance Certificate from the tax authorities.

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About this template

What is this template?

This is a formal sworn statement used to certify that an individual has no outstanding tax dues in India. It is not a tax return itself, but a supporting document for administrative clearance applications.

When should you use it?

Use this when the Income Tax Department requires a sworn declaration of tax compliance for a clearance certificate, rather than a simple Form 30 or tax acknowledgment.

What's inside

ClauseNameWhat it does
Paragraph 2Passport DetailsThe deponent declares their Indian Passport number and the date of issue for identification purposes.
Paragraph 4Sources of IncomeLists specific income categories including Salary, Business, and House Property as the deponent's only revenue sources.
Paragraph 5Tax Compliance StatusConfirms that the deponent has filed returns and paid all liabilities until a specified Assessment Year.
VERIFICATIONVerificationRequires the deponent to swear on oath that the contents are true to their personal knowledge.

Who it's for

  • an Indian resident seeking an Income Tax Clearance Certificate for foreign travel or property transactions
  • a taxpayer declaring income from salary, business, and house property to the Income Tax Department

How long it runs and how it's signed

How long
Used once
Signed by
Deponent
Witness
Not required
Notarisation
Required
Also needed
stamping by a notary public or oath commissioner
Jurisdiction
India
Document info
MS Word. Document created on Fri Jun 26th, 2026. Last updated on Mon Oct 19th, 2026.
This document is public
Licensed under CC BY 4.0 (Attribution).
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