Statement to be furnished to the Assessing Officer desiginated under rule 12B of the Income-tax Rules, 1962, in respect of Income distributed by Mutual Fund (Omitted)

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....ficer designated under rule 12B of the Income-tax Rules, 1962, in respect of income distributed by a Mutual Fund (Separate forms to be filled up for each scheme) 1. Name of the Mutual Fund and the address of registered office 2. Permanent Account Number 3. Previous year ending 4. Names and addresses of the trustees of the fund 5. Objects of the fund (Enclose a copy of the Mutual Fund deed) ....

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....ribution of income. I, -------------------------------------------------- son/daughter/wife of ---------------------do (Name in full and in block letters) hereby solemnly declare that to the best of my knowledge and belief what is stated above and in the Annexure(s), including the documents accompanying such Annexure(s) is correct and complete. I further declare that I am furnishing such state....