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Application under sub-section (20) of section 155 for credit of tax deduction at source (TDS)

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.... the person in respect of which the application is being furnished (if different from (1)) (See note 1) : (4) PAN of the person in respect of which the application is being furnished (if different from (2)) (See note 1) : (5) Whether the deductee is resident or non-resident? : (6a) Address of the person furnishing the application : (6b) PIN/ Zip Code of the person furnishing the application : ....

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....(1) (2) (3) (4) (5) (6) (7) Total Rate at which tax deducted Date of payment of tax deducted to the Central Government (dd/mm/yyyy) Section of Income-tax Act 1961 under which tax deducted Amount of tax out of (6) claimed for relevant assessment year Name of deductor TAN of deductor PAN of deductor (8) (9) (10) (11) (12) (13) (14) Total *Specified income means any income refe....

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....specified income was included, for the relevant assessment year under section 139. c) I have not claimed credit for the tax deducted at source on the specified income claimed in Form No. 71 in any other assessment year and will not claim the same. d) I also declare that I am making application in my capacity as ……………………. of …&helli....