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
ADVERTISEMENT
1
2FORM NO. 15G
PAN No
[See section 197A(1), 197A(1A) and rule 29C]
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.
PART - I
1. Name of Assessee (Declarant)
2. PAN of the Assessee
3. Assessment Year
4. Flat/Door/Block No.
5. Name of Premises
6. #Status
7. Assessed in which
Ward/Circle
8. Road/Street/Lane
9. Area/Locality
10. AO Code(under whom
assessed last time
Area Code
AO Type
Range Code
AO No.
11. Town/City/District
12. State
14. Last Assessment Year
in which assessed
13. PIN
15. Email
16. Telephone No.
17. Present Ward/Circle
18. Residential Status
19. Name of Business/Occupation
20. Present AO Code (if
not same as above
21. Jurisdictional Chief Commissioner of Income‐tax or
Area Code
AO Type Range Code AO No.
Commissioner of Income‐tax(if not assessed to income tax earlier)
22. Estimated total income from the sources mentioned below:
(Please tick the relevant box)
Dividend from shares referred to in Schedule I
Interest on securities referred to in Schedule II
Interest on securities referred to in Schedule II
√ √ √ √
Interest on sums referred to in Schedule III
Income form units referred to in Schedule IV
The amount of withdrawal referred to in section 80CCA(2)(a) from National Savings Scheme
referred to in ScheduleV
23. Estimated total income of the previous year in which income mentioned in Column 22 is to
be included
24. Details of investments in respect of which the declaration is being made:
SCHEDULE‐ ‐ ‐ ‐ I
(Details of shares, which stand in the name of the declarant and beneficially owned by him)
No. of
Class of shares &
Total value
Distinctive numbers
Date(s) on which the shares
shares
face value of each
of shares
of the shares
were acquired by the
share
declarant(dd/mm/yyyy)
SCHEDULE‐ ‐ ‐ ‐ II
(Details of the securities held in the name of declarant and beneficially owned by him)
Description of
Number of
Amount of
Date(s) of
Date(s)on which the securitues
securities
securities
securities
securities
were acquired by the
(dd/mm/yyyy)
declarant(dd/mm/yyyy)
SCHEDULE‐ ‐ ‐ ‐ III
(Details of the sums given by the declarant on interest)
Name and address of the
Amount of
Date on which the sums
Period for which
Rate
person to whom the sums are
sums given
were given on
sums were
of
given on interest
on interest
Interest(dd/mm/yyyy)
given on interest
interest
Managing Director
KTDFC Ltd
th
th
6
6
Floor, Transtowers
Floor, Transtowers
Vazhuthacaud
Thiruvananthapuram
Kerala State, Pin - 695014
ADVERTISEMENT
0 votes
Related Articles
Related forms
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
Financial
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
Financial
Form No. 15g - Declaration Under Section 197a(1) And Section 197a (1a) Of The Incometax Act, 1961 To Be Made By An Individual Or Person (not Being A Company Or Firm) Claiming Certain Receipts Without Deduction Of Tax
Financial
Form 15g - Declaration Under Section 197(a)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 A Firm) Claiming Certain Receipts Without Deduction Of Tax
Financial
Form No. 15g - Declaration Under Section 197a (1) And Section 197a(1a) To Be Made By An Individual Or A Person (not Being A Company Or Firm) Claiming Certain Incomes Without Deduction Of Tax
Financial
Form No. 15h - Declaration Under Sub-section (1c) Of Section 197a Of The Income-tax Act, 1961, To Be Made By An Individual Who Is Of The Age Of Sixty-five Years Or More Claiming Certain Receipts Without Deduction Of Tax
Financial
Form No. 15h - Declaration Under Section (1c) Section 197a Of The Income-tax-act, 1961, To Be Made By An Individual Who Is Of The Age Of Sixty Five Years Or More Claiming Certain Receipt Without Deduction Of Tax
Financial
Form No. 15h - Declaration Under Section 197a(1c) Of The Income-tax Act, 1961 To Be Made By An Individual Who Is Of The Age Of Sixty Years Or More Claiming Certain Receipts Without Deduction Of Tax
Financial
Related Categories
Parent category: Financial