Application for income certificate

Use this as a covering application to the tehsildar or the office that issues income certificates in your area, where a plain application is accepted.

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To The Tehsildar, [Tehsil or Taluk Name], [District] Date: [Date] Subject: Application for an income certificate Sir/Madam, I am [Your Name], [son/daughter/wife] of [Father's or Husband's Name], a resident of [Your Address]. I need an income certificate for [Purpose, for example my daughter's scholarship form]. The details of my family's income are: Occupation of the earning member: [Occupation] Annual income from all sources: Rs [Annual Income] Number of family members: [Number of Family Members] I declare that this information is true to the best of my knowledge. I request you to kindly issue the income certificate. Copies of the required documents are attached. Yours faithfully, [Your Name] Mobile: [Mobile Number]

Before you send it

In most states, income, caste and residence certificates are now applied for online on the state's e-District or service portal, or at a common service centre, on a fixed form. Check your state's portal before you write a letter.
The document list differs by state. Ask the office or see the portal; do not rely on a general list.
State the income honestly. A false declaration to a public office is an offence.
The same layout works for a residence (domicile) certificate: change the subject and replace the income details with how long you have lived at the address.

What to attach

Identity and address proof
Proof of income, such as a salary slip, as your state's form requires
Self-declaration, if the form asks for one

This is a general format, written by us, to save you time. If the office has its own printed form, use that form. Last checked: 11 November 2026.

More government and utility formats

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