Form No. 15g - Declaration Under Section 197a(1) And Section 197a(1a) Of The Income-Tax Act, 1961 To Be Made By An Individual Or A Person (Not Being A Company Or Firm) Claiming Certain Receipts Without Deduction Of Tax Page 2
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1
2/ t
declare
to
best of
belief
is stated above is
complete
is truly stated. / t
/
1961. / t
declare
referred to
form are
total
of
60 to 64 of
-tax
declare
tax
total
referred to
22
computed
/
/ t
of
-tax
for
previous year
....................
to
year
be
declare
referred to
22 for
previous year
....................
to
year ..................
exceed
maximum
is
to
-tax.
Place:
Date:
^
of
PART II
[For use by
to
is
1. Name of
for
referred to
22 of Part I
2. PAN of
1 of Part II
3. Complete Address
4. TAN of
1 of Part II
5. Email
6. d
No.
STD Code)
Mobile No.
7. Status
8. Date
is &
9. Period
respect of
10.
of
paid
11. Date
declared or
12. Date of
or
of
13.
Number of E
^
^
from
E
^
^
made
&
to
or
of /
-
Place:
.
Date:
^
of
for
referred to
22 of Part I
Notes:
d
be
duplicate.
1.
*Delete
is
applicable.
2.
#
be
by
a
a
or a
3.
/
of a ,h&
KW etc.
capacity
is
4.
5.
Before
form is
correct
complete
all
respects.
a false
be liable to
277 of
/
-tax
1961
be
-
i)
/ a case
tax
to be evaded exceeds
-
be less
6
but
may
to
years
/
be less
3
but
may
to
years
ii)
d
for
referred to
22 of Part I
accept
of
of
referred
6.
to
sub-
or sub-
of
197A or
of
of
credited or paid or likely to be credited or paid
previous year
is to be
exceeds
maximum
is
to tax.";
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