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  • Topic: Drug prohibition law, Drug control law, Income tax
  • Pages : 9 (1444 words )
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  • Published : January 18, 2013
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FORM No. 15G
[See Rule 29C]
Declaration under sub-sections (1) and (1A) of section 197A 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 I/We* DEEPU GUPTA

son / daughter / wife of
resident of WB-13-C WB-BLOCK SHAKARPUR, , , DELHI, NEW DELHI, 110092, INDIA @ do hereby declare. 1.

*that I am a shareholder in
(name and address of the company) and the shares in the said company, particulars of which are given in Schedule I below, stand in my name and are beneficially owned by me, and the dividends therefrom are not includible in the total income of any other person under sections 60 to 64 of the Income-tax Act, 1961;

OR
*#that the securities or sums, particualrs of which are given in Schedule II or Schedule III or Schedule IV below, stand in *my/our name and beneficially belong to *me/us, and the *interest in respect of such securities or sums and/or income in respect of units is/are not includible in total income of any other person under sections 60 to 64 of the Income-tax Act, 1961; OR

*that the particulars of my account under the National Savings Scheme and the amount of withdrawal are as per the Schedule V below;

2.

that *my/our present occupation is

;

3.

that the tax on *my/our estimated total income, including*the dividends from shares referred to in Schedule I below; and/or
*#interest on securities, interest other than interest on securities and/or income in respect of units, referred to Schedule II, Schedule III and/or Schedule IV below;
and/or
*the amount referred to in clause(a) of sub-section (2) of section 80CCA, mentioned in Schedule V below, computed in accordance with the provisions of the Income-tax Act, 1961, for the previous year ending on .................................................... relevant to the assessment year .................... - ...................... will be nil;

4.

that *my/our income from *dividend/interest on securities/interest other than *interest on securities*/units/amounts referred to in clause (a) of sub-section (2) of section 80CCA or the aggregate of such incomes, computed in accordance with the provisions of the Income-tax Act, 1961, for the previous year ending on 2012-2013 (CURRENT FINANCIAL YEAR) relevant to the assessment year 2013-2014 (NEXT FINANCIAL YEAR) will not exceed the maximum amount which is not chargeable to income-tax;

5.

that *I/We have not been assessed to income-tax at any time in the past but I fall within the jurisdiction of the Chief Commissioner of Commissioner of Income-tax .................................................................................................................; OR

that *I was/we were last assessed to income-tax for the assessment year ................................. By the Assessing Officer............................... Circle/Ward/District and the permanent account number allotted to me is AESPG9553Q;

6.

That I *am/am not resident in India within the meaning of section 6 of the Income-tax Act, 1961;

7.

Particulars of the *shares of the company/securities/sums/accounts under the National Saving Scheme and the amount of withdrawal referred to in paragraph 1 above, in respect of which the declaration is being made, are as under :

SCHEDULE I (Not Applicable)
No. of shares

Class of shares and face value of
each share

Description of
securities

Total face value of shares

Number os securities

Distinctive numbers of the Date(s) on which the shares were
shares
acquired by the declarant

SCHEDULE II (Not Applicable)
Date(s) of securities

Mandatory : To be filled by the Branch
Checklist for Form 15G (For individual less than 60 years)
I have checked and confirm the below
Tick (
Customer is less than 60 years (if >= 60 years than fill form 15H) PAN No. is updated in Bank Records against the...
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