Form of declaration under section 199C of the finance act, 2016, in respect of the taxation and investment regime for Pradhan mantri garib kalyan yojana rules,2016

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....e Act, 2016. I give below the necessary particulars:− 1. Name of the declarant .................................................................................................... 2. Address: Office.............................................................................................................. ............................................................ Telephone No ........................................................... Residence......................................................................................................................... ........................................................................................................................................ Mobile No. ........

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....sp;                       Total   8. Tax payable thereon [@ 30% of item 7(a) Rs.......................................................  9. Surcharge payable thereon (@ 33% of item 8) Rs....................................................... 10. Penalty payable thereon [@10% of item 7(a)] Rs....................................................... 11. Total of tax, surcharge and penalty payable (8+9+10)    Rs....................................................... 12. Details of amount paid on or before the date of declaration                  &nb....

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....eposit is made   Rs....................................................   ....................................................... ....................................................... ....................................................... ....................................................... VERIFICATION I .................................... son/daughter/wife of Shri................................................. (Full name in block letters)                                          &nbsp....