Information to be provided under sub-section (5) of section 90 or sub-section (5) of section 90A of the Income-tax Act, 1961

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...................... in the capacity of ................................................................. (designation) do provide the following information, relevant to the previous year………………………………. *in my case/in the case of................................... for the purposes of sub-section (5) of *section 90/sect....

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....) of section 90A is applicable : (vi) Address of the assessee in the country or territory outside India during the period for which the certificate, mentioned in (v) above, is applicable 2. I have obtained a certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A from the Government of ………………………....

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....p;……………….. day of…………………………… …………………………….. Signature of the person providing the information Place: …………………………… Notes : ....