Statement of income distributed by an investment fund to be provided to the unit holder under section 115UB of the Income-tax Act, 1961

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....credited by the Investment Fund to the unit holder during the previous year: (In Rs.) S.No. Amount paid or credited Date of payment or credit Breakup of Amount paid/credited under Heads of Income       'Business or profession' 'Long Term Capital Gain' 'Short Term Capital Gain' 'Other Sources' Code   Income or Loss Code Income or Loss 'Dividend' Others (please specify if taxed at special rate) Income Income Income or Loss (1) (2) (3) (4) (5)   (6) (7) (8) (9) (10)                             (h) Details of deemed loss as on the 31st March, 2019 in terms of sub-section (2A) of section 115UB (to be pa....

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....hort term capital gain Code 1. Short term capital gain chargeable at 20% under section 111A 6 2. Short term capital gain chargeable at 15% under section 111A 7 3. Short term capital gain chargeable at 30% 8 4. Short term capital gain chargeable at applicable rate 9]     ____________________ Notes: 1.   Inserted vide notification no. 92/2015 dated 11-12-2015 2. Substituted vide Notification No. 95/2019 dated 06-11-2019 w.e.f. 01-09-2019 before it was read as "Permanent Account Number" 3. Substituted vide NOTIFICATION NO. 55/2020 dated 28-07-2020 before it was read as "FORM NO. 64C [See rule 12CB (1)(i)] Statement of income distributed by an investment fund to be provided to the unit holder under sec....

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....9;         Referred to in Section 10(38) Others To which Section 111A applies Others 'Dividend' [referred to in Section 115O] Others (1) (2) (3) (4) (5) (6) (7) (8) (9) (10)                       I, _______________________________ (Name in full and in block letters) son/daughter/wife of _________________________________ do 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 statement in my capacity as ___________________ (designation) and tha....