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Application by a person for a certificate under sections 197 and/or 206C(9) of the Income-tax Act, 1961, for no deduction/collection of tax or deduction/ collection of tax at a lower rate

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....d ----------------------- (ii) without deduction of income-tax as this application is made for the person/entity specified in rule 28AB. The details are specified in Annexure-II. and/or I, ------------------------------------------------ of ------------------------------------------------ do, hereby request that a certificate may be issued to the Seller/Lessor/Licensor, authorising him to collect income-tax at lower rate at the time of debit of such amount to my account or receipt thereof from me, as the case may be. The details are specified in Annexure-III. 2. The particulars of my income and other relevant details are as under : (i) Status (State whether individual, Hindu undivided family, firm, body of individuals, company etc.)   (ii) Residential status (Whether resident / resident but not ordinarily resident / non-resident during the year which is sought)   (iii) 3[Permanent Account Number or Aadhaar Number]   (iv) E-mail ID   (v) Mobile Number   (vi) Details of existing liability under the Act and the Wealth-tax Act, 1957:-     Assessment Year Liability under the Income-tax Act, 1961 Amount Payable under the Wealth-tax....

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....nt Number or Aadhaar Number ---------------------------------------------- (if allotted). Date: ----------------------------- Place: ---------------------------- ---------------------------------- Signature ---------------------------------- ---------------------------------- Address ANNEXURE I [For the purpose of tax deduction at source] Please furnish following particulars in respect of the income/sum for which the certificate is sought Sl.No. Tax deduction and collection account number (TAN) or 4[Permanent Account Number or Aadhaar Number] of the person making payment Section under which tax at source is to be deducted Estimated amount of income/sum to be received Requested rate of Deduction (Please fill '0' where 'NIL' deduction is requested) (1) (2) (3) (4) (5)                               ANNEXURE II [For the purpose of tax deduction at source ] Please furnish following particulars in respect of the income/sum for which the certificate is sought. (Please upload a note justifying the issue of certificate under proviso to the sub-rule (4) of rule 28A....

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....uthorising him not to deduct income-tax/to deduct income-tax at the rate of____________per cent at the time of payment to me of such income/sum. The particulars of my income and other details are as per para 2. and/or I,____________________________________________of__________________________________do, hereby, request that a certificate may be issued to the seller, being the person responsible for collecting the tax from me in respect of the amount payable by me as the buyer of_____________________________[specify the nature of goods referred to in the Table in sub-section (1) of section 206C]/lessee or licensee of _______________________________________________________[specify the nature of contract or licence or lease referred to in the Table in sub-section (1C) of section 206C] (Strike out whichever is not applicable) authorizing him to collect income-tax at the rate of____________________per cent at the time of debit of such amount to my account or receipt thereof from me, as the case may be. The particulars of my income and other details are as per para 2. and/or I, of do, hereby, request that a certificate may be issued to the seller, being the person responsible for coll....

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....                                         (viii) Details of sales, profit, etc. for the last three previous years in the case of assessee whose income include income under the head "Profits and gains of business or profession": (enclose copies of profit and loss account and balance sheet along with audit report, if audited, for the last three previous years)  Previous year Gross sales, turnover receipt of business or profession Gross profit Net profit In rupees In percentage to amount stated in column (1) In rupees In percentage to amount stated in column (1) (1) (2) (3) (4) (5) (6)                                       (ix) Details of existing liability under Income-tax Act, 1961 and Wealth-tax Act, 1957: Assessment Year/ period Liability under the Income-tax Act, 1961 Amount payable under the Wealth-tax Act, 1957 Amount payable in respect of advance-tax Amount payable  for self-assessment tax Amount for which notice of ....

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....                                      _____________________                                                                                                                                                       Signature Place________________      ....

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....he company No. of shares   Class of shares and face value of each share Total face value of shares   Distinctive numbers of shares   Estimated amountof dividend to be received (1) (2) (3) (4) (5) (6) (7)                 SCHEDULE V  Sl. No. Name and address of the employer Period of employment   Amount of salary received Income from house property Income from sources other than salary and income from house property Estimated total income   (1) (2) (3) (4) (5) (6) (7)                 SCHEDULE VI  Sl.No. Name and address of person responsible for paying rent Estimated amount of rent to be received (1) (2) (3)         SCHEDULE VII  Sl.No Name and address of the mutual fund No. of units Classes of units and face value of each unit Total face value of units Distinctive numbers of units Estimated amount of income to be received (1) (2) (3) (4) (5) (6) (7)                 SCHEDULE VIII Sl.No. Name and address of person respo....

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....                      (Signature) Place___________________                                                                                  _________________ (Address) ANNEXURE I-A [For the purpose of tax deduction at source] Please furnish the particulars in the Schedule below in respect of the payments for which the certificate is sought, - SCHEDULE Sl. No. Nature of payment Estimated amount of incomes/sum to be received (1) (2) (3)   Date............... ............................. (Signature) Place ................... ............................. ............................. ............................. (Address)     ANNEXURE II [For the purpo....

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....p;                                                                                                                                                                                                                                                                                                Signature of the buyer Full Name______________ Designation_____________"   3. Substituted vide Notification No. 95/2019 dated 06-11-2019 w.e.f. 01-09-2019 before it was read as "Per....

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....me as the buyer of [specify the nature of goods referred to in the Table in sub-section (1) of section 206C] / lessee or licensee of [specify the nature of contract or licence or lease referred to in the Table in sub-section (1C) of section 206C] (Strike out whichever is not applicable) authorizing him to collect income-tax at the rate of per cent at the time of debit of such amount to my account or receipt thereof from me, as the case may be. The particulars of my income and other details are as per para 2. 2. The particulars of my income and other details are as under : (i) Status (State whether individual, Hindu undivided family, firm, body of individuals, Company, etc.) (ii) Residential status (Whether resident / resident but not ordinarily resident / non-resident) (iii) Permanent Account No. (PAN) (iv) Tax Deduction and Collection Account No. (TAN) (v) Details of returns/statements which have become due but have not been filed : (vi) Details of returned income/ assessed income for the last three assessment years: (enclose copies of returns of income filed along with their enclosures and copies of assessment orders, if assessed, for the last three....

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.... Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â  _____________________ Signature Place________________                                                                               _____________________ Address Strike out whichever is not applicable. ANNEXURE I [For the purpose of tax deduction at source] Please furnish the particulars with the Schedules below in respect of the payments for which the certificate is sought. SCHEDULE I SCHEDULE II SCHEDULE III SCHEDULE IV SCHEDULE V SCHEDULE VI SCHEDULE VII SCHEDULE VIII SCHEDULE IX SCHEDULE X SCHEDULE XI SCHEDULE XII Date ________________                                             Â....

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....n served but not paid.Amount payable as deductor or collector which had become due but not paid.(1)(2)(3)(4)(5)(6) Nature of prepaid taxDate of payment/deduction/collectionAdvance taxTDSTCS Description of securitiesNumber of securitiesDate of securitiesAmount of securitiesEstimated amount of interest to be received(1)(2)(3)(4)(5) Sl.No.Name and address of the person to whom the sums are given on InterestAmount of such sumsThe date on which such sums were given on interestPeriod for which such sums were given on InterestRate of interestEstimated amount of interest to be received(1)(2)(3)(4)(5)(6)(7) Sl.NoName and address of person responsible for paying insurance commissionEstimated amount of insurance commission(1)(2)(3) Sl.No.Name and address of the companyNo. of sharesClass of shares and face value of each shareTotal face value of sharesDistinctive numbers of sharesEstimated amountof dividend to be received(1)(2)(3)(4)(5)(6)(7) Sl. No.Name and address of the employerPeriod of employmentAmount of salary receivedIncome from house propertyIncome from sources other than salary and income from house propertyEstimated total income(1)(2)(3)(4)(5)(6)(7) Sl.No.Name and address o....