Income Tax Verification Form

An income tax verification form verifies whether a person has paid tax on his income or not. This form is also used to check whether the individual has furnished all his income details correctly.

Sample Tax Verification Form:

Personal Information:

Pan card number: ________________

Name: First name ___________ Middle name __________ Surname _____________

Father’s name: First name __________ Middle name _________ Surname __________

Home   address: Street address ____________ City name ____________ State _____________  Zip code _____________

Home contact number: _____________        Mobile number: _______________

Office  address:  Street address ____________ City name ____________ State _____________  Zip code _____________

Work contact number: _______________

Computation of income tax:

Total annual income                                             __________________________

Deductions                                                         __________________________

Yearly losses (if any)                                        __________________________

Amount of net tax payable                                     __________________________

Interest payable                                                       __________________________

Total tax payable                                                       __________________________

Amount of tax paid                                                    __________________________

I assure that all the information mentioned about my income details is true and I have paid tax for the financial year ________ to _____________.

_______________________                                           Dated: ________________

Signature of the candidate

Category: Verification Forms