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Form of application for settlement of cases under section 22C(1) of the Wealth-tax Act, 1957

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.... address of the applicant 2. Permanent Account Number 3. Status [See Note 4] 4.The Commissioner having jurisdiction over the applicant 5. Assessment year(s) in connection with which the application for settlement is made 6. Date of filing the return(s) of wealth for assessment year(s) referred to in column 5 7. Proceedings to which application for settlement relates, the date from which proceeding....

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....on do hereby solemnly declare that to the best of my knowledge and belief, what is stated above and in the Annexure [including the statement(s) and documents accompanying such Annexure] is correct and complete. I further declare that I am making this application in my capacity as (designation) and that I am competent to make this application and to verify it. , son/daughter/wife of I, the day ....

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....ate enclosures may be used for the purpose. 6. In case of assessment proceedings, indicate the designation of the Assessing Officer/Deputy Commissioner before whom the proceedings are pending indicating also the date of service of notice under section 14(2)/section 17 of the Wealthtax Act, 1957, or, as the case may be, the date of filing of the return under section 14 of the said Act, in case of ....

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....down in sub-sections (1A) to (1D) of section 22C. 10. The details referred to in item 11 shall be given in the Annexure to this application. ANNEXURE Statement containing particulars referred to in item 11 of the application under section 22C(1) of the Wealth- tax Act, 1957 1.tax Act, 1957 Wealth which has not been disclosed before the Assessing Officer 2.Additional amount of wealthtax payable....