Form For Evidence Of Payment Of Securities Transaction Tax On Transactions Enetered In A Recognised Stock Exchange

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FORM NO. 10DB
[See rule 20AB]
Form for evidence of payment of securities transaction tax on transactions entered in a
recognised stock exchange
Name of the assessee
:
1.
2.
Address of the assessee
:
3.
Permanent Account Number (PAN) of the assessee
:
MAPIN of the assessee
:
4.
5.
Name of the Stock Exchange in which transaction
:
entered into
6.
Financial year
:
Name of the stock broker
:
7.
8.
Address of the stock broker
:
Stock broker code
:
9.
10. Details of value of securities transactions and securities transaction tax collected from the assessee:
Client code
Code* of
Value of
Total securities
Value of transactions
Securities
number
transaction
transactions
transaction tax
(included in value
transaction tax
entered into during
collected from the
given in column 3)
collected on
the financial year
assessee during the
entered into in the
value of
financial year
course of business by
transactions
the assessee
given in column
5
1
2
3
4
5
6
01
02
03
04
05
Total
Verification
I, _____________________ (full name in block letters), son/daughter of __________________ solemnly
declare that to the best of my knowledge and belief the information given in this Form is correct and complete
and that the total amount of securities transaction tax shown therein is truly stated and is in accordance with the
provisions of Chapter VII of the Finance (No. 2) Act, 2004 and Securities Transaction Tax Rules, 2004.
Date
_______________
Place
_______________
(Name and Signature of the
assessee)
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