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Information to be furnished for payments to a non-resident not being a company, or to a foreign company [Rule 37BB]

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....of remitter RE PAN of the remitter (if available) TAN of the remitter (if available) MI TT Complete address, email and phone number of the ER RE MI TT remitter Status of remitter1 Residential status of remitter² Name of recipient of remittance PAN of the recipient of remittance, if available³ Complete address, email and phone number 5 of the recipient of remittance EE Country to which remittance is made Amount payable before TDS (In Indian Currency) RE Aggregate amount of remittances made during the financial year including this proposed remittance MI Name of bank TT Name of the branch of the bank AN Proposed date of remittance CE Nature of remittance Please furnish the relevant purpose code as per RBI Amount of TDS Rate of TDS Date of deduction VERIFICATION I/We*, in the capacity of (full name in block letters), son/daughter of (designation) solemnly declare that the information given above is true to the best of my knowledge and belief and no relevant information has been concealed. I/We* further undertake to submit the requisite documents for enabling the income-tax authorities to determine the nature and amount of income of the recipi....

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.... Income-tax Act, 1961 has been obtained, particulars of which are given in this Form. I/We* further undertake to submit the requisite documents for enabling the income- tax authorities to determine the nature and amount of income of the recipient of the above remittance as well as documents required for determining my liability under the Income-tax Act as a person responsible for deduction of tax at source. Place: Signature of the person responsible for paying to non-resident Date: Name and Designation of the person responsible for paying to non-resident * Delete whichever is not applicable. 1 In case TAN is applied for, please furnish acknowledgement number of the application. 2 Write 1 if company, write 2 if firm, write 3 if individual and write 4 if others. 3 In case of company, write 1 if domestic company, write 2 if foreign company, in case of person other than company, write 3 if resident, write 4 if non-resident. 4 In case of non-availability of PAN, provisions of section206AA shall be applicable. 5 If available 6 If available. Part C (To be filled up if the remittance is chargeable to tax under the provisions of Income-tax Act, 1961 and the remittance ....

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....) taxable income as per DTAA (v) tax liability as per DTAA A. If the remittance is for royalties, fee for technical services, interest, dividend, etc., (not connected with permanent establishment) please indicate:- (a)Article of DTAA (Tick) Yes No Nature of payment as per DTAA In Indian Rs. In Indian Rs. (Tick) Yes No (b) Rate of TDS required to be deducted in terms As per DTAA (%) of such article of the applicable DTAA B. In case the remittance is on account of Currency: In Indian Rs. business income, please indicate:- (Tick) Yes No (a) The amount of income liable to tax in India (b) The basis of arriving at the rate of deduction of tax. C. In case the remittance is on account of capital gains, please indicate:- (Tick) Yes No (a) amount of long term capital gains (b) amount of short-term capital gains (c) basis of arriving at taxable income D. In case of other remittance not covered by Yes No sub-items A, B and C (a) Please specify nature of remittance (b) Whether taxable in India as per DTAA (c) If yes, rate of TDS required to be deducted in terms of such article of the applicable DTAA (d) if not, please furnish brief reasons thereof s....

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....rtificate of the accountant. RE MI TT ER Part D [To be filled up if the remittance is not chargeable to tax under the provisions of the Income-tax Act, 1961 {other than payments referred to in rule 37BB(3)} by the person referred to in rule 37BB(2)] Name of the remitter PAN of the remitter, if available TAN of the remitter, if available Complete address, email and phone number of the remitter Status of remitter 1 Residential status of the remitter2 RE Name of recipient of remittance MI PAN of the recipient of remittance, if available TT EE Complete address, email³ and phone number 4 of the recipient of remittance Country to which remittance is made Country: Country of which the recipient of remittance is resident, if available Currency: RE Amount payable In foreign currency: In Indian Rs. MI Name of the bank Name of the branch of the bank TT BSR code of the bank branch (7 digit) AN Proposed date of remittance (DD/MM/YYYY) CE Nature of remittance Please furnish the relevant purpose code as per RBI 2. I certify that I have reason to believe that the remittance as above is not chargeable under the provision of Income-tax Act 1961 and is not....

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.... as a person responsible for deduction of tax at source. Part B (To be filled up if the remittance is chargeable to tax and exceeds fifty thousand rupees and the aggregate of such remittances made during the financial year exceeds two lakh fifty thousand rupees) If any relief is claimed under DTAA- (a) Article of DTAA (b) Rate of TDS required to be deducted in As per DTAA (%) __________ terms of such article of the applicable DTAA Date of deduction of tax at source, if any (DD/MM/YYYY) VERIFICATION I, ________________(full name in block letters), son/daughter of _________________ in the capacity of ____________(designation) solemnly declare that the information given above is true to the best of my knowledge and belief and no relevant Information has been concealed. I certify that a certificate has been obtained from an accountant, particulars of which are given in this Form, certifying the amount, nature and correctness of deduction of tax at source. I certify that certificate/order under section 195(2)/195(3)/197 of the Income-tax Act, 1961, particulars of which are given in this Form*. In case where it is found that the tax actually deductible on the amount of remitt....

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....ENERAL INFORMATIONName of the remitterREMITTERPAN of remitterArea CodeAO TypeRange CodeAO NoArea CodePrincipal Place of BusinessTAN of remitteriComplete address, email and phone numberof the remitterStatus iiIn case of company - If domestic, write 'l' and if other than domestic,-- write ‘2’-REMITEE ACCOUNTANTName ofrecipientofPANofrecipient ofremittanceremittance iiiStatus ivAddressCountry to wish remittance is made :Principal place of businessEmail address(ISDcode)-PhoneNumber :( a )Name of the Accountant v(signing the certificate)( b )Nameof the proprietorship/firmof theaccountant( c )Address( d )Registration no. of the accountant( e )Date of certificate (DD/MM/YYYY)CertificateNo.viA.O.ORDER( a )Whether any order/ certificate u/s195(2)/(Tick)YesNo195(3)/ 197 of Income-tax Act has been obtainedFrom the Assessing Officer.( b )Section under which order/certificate has beenobtained( c )Name and designation of the Assessing Officerwho issued the order/certificate( d )Date of order/certificate( e )Order/certificate number Section BPARTICULARS OF REMITTANCE AND TDS (as per certificate of the accountant1.Country to which remittance is madeCountry :____ _ __Currenc....

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....and Signature of receiving official_____________________________ [Image Text]: [No text could be extracted from this image] Document 3FORM NO. 15CA (See rule 37BB) Information to be furnished under sub-section (6) of Section 195 of the Income-tax Act, 1961 relating to remittance of payments to a non-resident or to a foreign company Ack. No _________________ VERIFICATION I/We, _____________________________________(full name in block letters), son/ daughter of ______________________________solemnly declare that the information given above is true to the best of my/our knowledge and belief and no relevant information has been concealed. I/We certify that a certificate has been obtained from an accountant, particulars of which are given in this Form, certifying the amount, nature and correctness of deduction of tax at source. In a case where it is found that the tax actually deductible on the amount of remittance has not been deducted or after deduction has not been paid or not paid in full. I/we undertake to pay the amount of tax not deducted or not paid, as the case may be along with interest due. I/We shall also be subject to the provisions of penalty for the said default as p....

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....encyIn Indian Rs.3.Name of the bankBranch of the bank4.BSR Code of the bank branch (7 digit)5.Proposed date of remittance(DD/MM/YYYY)6.Amount of TDSIn foreign currencyIn Indian Rs.7.Rate of TDSAs per Income-tax Act (%)As per DTAA (%)8.Actual amount of remittance after TDSIn foreign currencyIn Indian Rs.9.Date of deduction of tax at source(DD/MM/YYYY)10.Nature of remittance as per agreement/ document11.In case the remittance is net of taxes, whether tax payable has been grossed up?T ick  √ Yes  NoT ick  √YesNoT ick  √YesNo12.If the remittance is for royalties, fee for technical services, interest, dividend, etc., please indicate:-T ick  √ Yes  NoT ick  √YesNoT ick  √YesNo(a)  The clause of the relevant DTAA under which the remittance is covered along with reasonsClause of DTAA(b)  Rate of TDS required to be deducted in terms of such clause of the applicable DTAAAs per DTAA (%)(c)  In case TDS is made at a lower rate than the rate prescribed under DTAA, reasons thereof13.In case remittance is for supply of articles or things (e.g. plant, machinery, equipment etc.), please indicate,T ick  √ Yes....