INTIMATION OF PAYMENT UNDER SUB-SECTION (1) OF SECTION 187 OF THE FINANCE ACT, 2016 IN RESPECT OF THE INCOME DECLARATION SCHEME, 2016

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....ner/Commissioner …………………………………… Sir/Madam, 1. Pursuant to the acknowledgement received from you in Form-2 vide certificate F.No._________ dated _______, the detail of payments made are as under: A. Payments made on or before 30th day of November, 2016 Sl BSR Code of Bank Date of Deposit (DD/....

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.... ………………………………………………son/daughter/wife of Shri ……………………………… hereby declare that the income related to TDS/TCS for which credit is claimed has been included in the income declared in Form-1 and....

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.... declarant Note: **Strike off whichever is not applicable The form is to be furnished on or before the dates notified for making payments under the Scheme viz. 30.11.2016, 31.03.2017 and 30.09.2017.] *********************** NOTES:- 1. Inserted vide NOTIFICATION NO. 33/2016 dated 19-05-2016 2. Substituted vide NOTIFICATION 70/2016 dated 12-08-2016 before it was read as "1[INTIMATION O....