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Statement of Reportable Account under sub-section (1) section 285BA of the Income-tax Act, 1961

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....ate A.2.6 Reporting Period A.2.7 Report Type Insert 1 character code A.2.8 Number of Reports A.3 A.3.1 PRINCIPAL OFFICER DETAILS Principal Officer Name A.3.2 Principal Officer Designation A.3.3 Principal Officer Address A.3.4 City/Town A.3.5 Postal Code A.3.6 State Code Insert 2 character code A.3.7 Country Code Insert 2 character code A.3.8 Telephone A.3.9 Mobile A.3.10 Fax A.3.11 Email B.1 PART B: REPORT DETAILS (This information should be provided for each Account being reported) ACCOUNT DETAILS (To be provided for each account being reported) Report Serial Number B.1.1 B.1.2 Original Report Serial Number B 1.3 Account Category Insert 2 character code B.1.4 Account Type Insert 2 character code B.1.5 Currency in which account is maintained B.1.6 Account Number B.1.7 Account Number Type Insert 1 character code B.1.8 Account Holder Name B.1.9 Account Status Insert 1 character code B.1.10 Account Treatment Insert 1 character code B.1.11 Self-certification Insert 1 character code B.1.12 Documentation Status Insert 1 character code B.1.13 Date of closure of account, if closed during the year B.2 BRANCH DETAILS B....

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....Insert 2 character code B.5.15 Tax Identification Number (TIN) allotted by tax resident country B.5.16 TIN Issuing Country B.5.17 Address Type Insert 2 character code Insert 1 character code B.5.18 Address B.5.19 City/Town B.5.20 Postal Code B.5.21 State Code Insert 2 character code B.5.22 Country Code Insert 2 character code B.5.23 Mobile/Telephone Number B.5.24 Other Contact Number B.5.25 Remarks B.6 B.6.1 CONTROLLING PERSON DETAILS (To be provided for each controlling person of the entity) Controlling Person Type Insert 3 character code B.6.2 Name B.6.3 Customer ID B.6.4 Father's Name B.6.5 Spouse's Name B.6.6 Gender Insert 1 character code B.6.7 PAN B.6.8 Aadhaar Number B.6.9 Identification Type Insert 1 character code B.6.10 Identification Number B.6.11 Occupation Type Insert 1 character code B.6.12 Occupation B.6.13 Birth Date B.6.14 Nationality Insert 2 character code B.6.15 Country of Residence as per tax laws Insert 2 character code B.6.16 Place of Birth B.6.17 Country of Birth Insert 2 character code Tax Identification Number (TIN) B.6.18 allotted by tax resident country B.6.19 TIN Issuing Country ....

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....code B.2.9 B.2.10 Telephone Mobile B.2.11 Fax B.2.12 Email B.3 B.3.1 B.3.2 B.3.3 B.3.4 B.3.5 ACCOUNT SUMMARY Account balance or value at the end of reporting period Aggregate gross interest paid or credited Aggregate gross dividend paid or credited Gross proceeds from sale of property Aggregate gross amount of all other income paid or credited 43 B.3.6 Aggregate gross amount credited B.3.7 B.4 B.4.1 B.4.2 Aggregate gross amount debited INDIVIDUAL DETAILS (To be provided for individual account holder ) Name Customer ID B.4.3 Father's Name B.4.4 Spouse's Name B.4.5 Gender Insert 1 character code (Refer Instructions) B.4.6 PAN B.4.7 Aadhaar Number B.4.8 Identification Type Insert character code B.4.9 Identification Number B.4.10 Occupation Type Insert 1 character code B.4.11 Occupation B.4.12 Birth Date B.4.13 Nationality Insert 2 character code B.4.14 Country of Residence as per tax laws Insert 2 character code B.4.15 Place of Birth B.4.16 Country of Birth Insert 2 character code Tax Identification Number (TIN) allotted B.4.17 by tax resident country B.4.18 TIN Issuing Country B.4.19 Address Type Insert 2 char....

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....8 Remarks. 46 46 Insert 2 character code Insert 2 character code Instructions to Form 61B General Instructions The requirement field for each data element indicates whether the element is validation or optional in the schema. Validation (Optional) Mandatory Optional Optional* Specific Instructions "Validation" elements MUST be present for ALL data records in a file and an automated validation check will be undertaken. The Sender should do a technical check of the data file content using XML tools to make sure all "Validation" elements are present and if they are not, the sender should correct the file. The Income-tax Department will also do so and if incorrect, will reject the file. An optional element that is required for reporting depending on availability of information or legal factors. These elements may be present in most (but not all) circumstances. The Income-tax Department will publish separate validation rules to check these. An optional element specified in form An optional element specified only in instructions. May be reported if available S. No. Element Description A.1.1 Reporting Entity Name A.1.2 ITDREIN (Income-tax Department Repor....

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....o ITD, a new unique Statement ID will be allotted for future reference. The reporting entities should maintain the linkage between the Statement Number and Statement ID. Example of the statement number is 2015/01. In case if the original statement is being replaced by this statement, statement ID of the original Statement which is being replaced deleted or referred by reports in the current Statement. In case the Statement is new and unrelated to any previous Statement, mention '0' here. Requirement Validation Validation Validation A.2.4 Reason of Correction Reason for revision to be stated when the original Statement is corrected. A.2.5 Statement Date Validation Permissible values are: A - Acknowledgement of original Statement had errors which are being resolved B - Errors in original Statement are being corrected suo-motu C - The correction report is on account of additional information being submitted N - Not applicable as this is a new statement/test data/ there is no data to report Z-Other reason This identifies the date and time when the Statement was compiled. This element will be automatically populated by the host system. The format for us....

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....f the original report that has to be replaced Validation or deleted. This number along with Original Statement ID will uniquely identify the report which is being corrected. In case there is no correction of any report, mention '0' here. Type of account. Permissible values are: Validation • BS Savings Account • BC - Current Account • - BR Cash Credit/Overdraft Account • - BD Credit Card Account • BP Prepaid Card Account • BL - Loan Account • BT-Term Deposit Account • IL - Term Insurance Policy • IE - Endowment Policy • IA - Annuity Policy (Excluding ULIP) - • IU ULIP Policy • IB - Money Back Policy • IW-Whole Life Policy • ST Trading Account • MF - Mutual Fund Folio • DB Beneficiary Client Account • DH - Beneficiary House Account DC - Clearing Member Pool Account • ZZ - Others • XX - Not Categorised 3 S. No. Element B.1.4 Account Number Description Provide the account number used by the financial institution to identify the account. If the financial institution does not have an account number then provide the funct....

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....erated numbers to uniquely identify the branch. Permissible values are: R-Regulator Issued • B- BIC Requirement Validation • I - IFSC S-Self generated • Z-Other sources • X - Self Generated B.2.2 B.2.3 Branch Reference Number Branch Name IFSC is compulsory in case of banking institutions. The unique number to uniquely identify the branch. Reporting Financial Validation Institution can use self-generated numbers to uniquely identify the branch. Name of Branch linked to the account. This could be the home or linked branch. Validation B.2.4 Branch Address Complete address consisting of house number, building name, street, locality, city, state etc. Validation B.2.5 City/Town Name of City, Town or Village Validation B.2.6 Postal Code In case of India, the 6 digit Pin code as per India Posts has to be mentioned. In case of countries outside India, respective code may be used. If Pin code is not available, use XXXXXX. Validation B.2.7 State Code The two digit state code has to be mentioned as per Indian Motor Vehicle Act 1988. If state code is not available, use XX. Validation B.2.8 Country Code The Country Code as....

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....amount debited to the account during the period. Optional gross amount debited to the account B.4.1 Name Validation Name of the Individual in whose name the account stands. This will be mandatory for accounts of individuals. Preceding Title Title Title of the person such as “His Excellency”, “Estate of the late”. Greeting title of the reported person such as Mr., Dr., Mrs., Herr etc. Can have multiple titles Optional* Optional* First Name First name of the person. In case if the first name is not available, no first name or NFN may be used here. Optional* Middle name Middle name (essential part of the name for many nationalities). Eg. Shakti in "Nivetha Shakti Shantha”. Can have multiple middle names. Optional* Name prefix De, van, van de, von, etc. Example: Derick de Clarke Optional* Last Name Represents the position of the name in a name string. Optional* Can be Given name, Forename, Christian name, Surname, Family name etc. In case of a company, this field can be used for the company name. Generation Identifier Suffix The identifier of generation such as Jnr, Thr, III Optional* General Suffix Could be compress....

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....try of Residence as per tax laws B.4.15 Place of Birth 2 character Country Code (ISO 3166) This data element describes the tax residence country code(s) for the individual being reported upon and must be present in all data records. The Country Code as per ISO 3166 has to be mentioned. If the individual is certified or treated as tax resident in more than one jurisdiction then this element may be repeated. Place of Birth. City Sub entity City Sub entity of birth of birth 7 Validation Validation (Optional) Mandatory Optional* S. No. Element B.4.16 Country of Birth Description This data element describes the Country of birth for the individual. The Country Code as per ISO 3166 has to be mentioned. This information is mandatory for foreign national or non-resident. Former name of the country Requirement (Optional) Mandatory Former Country Name Optional* B.4.17 Foreign Tax Identification Number (TIN) allotted by tax This data element identifies the Tax Identification Number (TIN) used by the residence country of the reported account holder to identify the Individual Account Holder. In case if there is no TIN, provide functional equivalent. (O....

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....e Non-Financial Entity with substantial US owner(s) • F3 - Non-Participating FFI • - F4 Specified US Person • F5 - Direct Reporting NFFE Requirement (Optional) Mandatory Validation B.5.4 Account for Other B.5.5 Holder Type Reportable Person Entity Constitution Type • XX-Not Applicable The permissible values are: Validation - one or more • C1- Passive Non-Financial Entity with controlling person that is a Reportable Person - Other Reportable Person • C2- • - C3 Passive Non-Financial Entity that is a CRS Reportable Validation • XX Not Applicable Permissible values are: A-Sole Proprietorship • • B - Partnership Firm • C - HUF • D - Private Limited Company • E- Public Limited Company • F-Society • G- AOP/BOI H - Trust • I - Liquidator • J - Limited Liability Partnership • K- Artificial Juridical Person • Z - Others • ✗- Not Categorised. B.5.6 Date of Incorporation Nature of To be reported in DD/MM/YYYY format. This information is mandatory (Optional) if valid PAN is not reported. Nature of Bu....

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.... Complete address consisting of house number, building name, street, locality, city, state etc. Validation Street Optional* Building Optional* Identifier Suite Identifier Optional* Floor Identifier Optional* District Name Optional* POB Optional* B.5.19 City/Town Name of City, Town or Village Validation B5.20 Postal Code In case of India, the 6 digit Pin code as per India Posts has to be mentioned. In case of countries outside India, respective code may be used. If Pin code is not available, use XXXXXX. Validation B.5.21 State Code The two digit state code has to be mentioned as per Indian Motor Vehicle Act 1988. If state code is not available, use XX. Validation B.5.22 Country Code The Country Code as per ISO 3166 has to be mentioned. Use IN for India. If Country Code is not available, use XX Validation B.5.23 Mobile/Teleph one Number Primary Telephone (STD Code-Telephone number) or mobile number (Please do not add "0" before the number) Optional B.5.24 Other Contact Number B.5.25 Remarks Other Telephone (STD Code-Telephone number) or mobile number (Please do not add "0" before the number) Optional Any additional information related ....

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....ity to have several names. This is a qualifier to indicate the type of a particular name. Such types include nick names ("nick"), names under which a party does business ("dba" a short name for the entity, or a name that is used for public acquaintance instead of the official business name) etc. The possible values are: N1=SMFAlias OrOther Requirement Optional* • N2= indiv • N3= alias • N4= nick • N5= aka • N6= dba • N7= legal • N8= atbirth B.6.3 Customer ID Customer ID/Number allotted by the reporting entity. This information is mandatory if Customer ID/Number is allotted. (Optional) Mandatory B.6.4 Father's Name Name of the father. This information is mandatory if valid PAN is not reported. Optional B.6.5 Spouse's Name of the spouse, if available Optional Name B.6.6 Gender Permissible values are: Validation • M - Male • F - Female • O - Others B.6.7 PAN Permanent Account Number issued by Income Tax Department. This information is mandatory if PAN is required to be collected as per regulatory guidelines. (Optional) Mandatory B.6.8 Aadhaar Aadhar number issued by UID....