Specified accounts maintained by the specified person
X X X X Extracts X X X X
X X X X Extracts X X X X
.... S.No. Account number Name of Retirement Fund Name of notified Country < select from drop down> Balance as on last day of the financial year prior to the previous year for which this+ Form is being filled Year in which account opened < dd.mm.yyyy > (i) (ii) (iii) (iv) (v) (vi) Specify how the income from specified account is taxable in the notified country ($) < Select relev....
X X X X Extracts X X X X
X X X X Extracts X X X X
....cified person being "non-resident" or "not ordinarily resident" (yyyy-yyyy) Whether return of income for the previous year referred to in column (xii) was furnished in India? Yes/No (If yes, please quote acknowledgement numer) (xi) (xii) (xiii) (xiv) 6 De tails of option being exercised - The income accrued in specified accounts as specified in paragraph 5, shall be included in ....
X X X X Extracts X X X X
X X X X Extracts X X X X
....e subsequently withdrawn for the previous year for which option is exercised or any previous year subsequent to that previous year. Place: Date: Yours faithfully, Name………………………………… Address…………………….………… Note :- (i) Opti....
TaxTMI