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Tax compliance for undisclosed foreign asset

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.... below the necessary particulars:− 1. Name of the declarant ............................................................................... 2. Address: Office......................................................................................... E-mail.......................................Telephone No................................ Residence.................................................................................... E-mail.......................................Telephone No................................. 3. Permanent Account Number (PAN) ....................... (In case PAN is not held, please apply for PAN and quote here) 4. Original/Revised declaration ....................... (If Revised provide date o....

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....sp;                           12. Balance tax payable......................................................................................................... VERIFICATION I...................................................son/daughter/wife of Shri.............................................................. (Full name in block letters) (name of father/husband) solemnly declare that− (a) the information given in this declaration is correct and complete to the best of my knowledge and belief; (b) my own undisclosed foreign asset and also any undisclosed foreign asset of other persons in respect of which I am chargeable to tax and....

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....vious year and a notice under sub-section (2) of section 143 of the said Act for the assessment year relevant to such previous year or a notice under section 153A or under section 153C of the said Act for an assessment year relevant to any previous year prior to such previous year has not been received and the time for issuance of such notice has not expired. I, further declare that I am making this declaration in my capacity as....................... (designation) and that I am competent to make this declaration and verify it.  (Signature)................................. Place...................... Date....................... * Score out whichever is not applicable. Annexure to Form 6 Statement of undisclosed assets located....

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....(d) Other precious metals Value__________ 4. Artistic work (attach valuation report) (a) Nature of artistic work __________________ (b) Country of location __________________ (c) Name(s) under which held ________________ (d) Date of acquisition __________________ (e) Cost of acquisition __________________ (f) Value of artistic work as estimated by the valuer __________________ (g) Fair Market value as per Rule 3 ________________ (Provide separate computation if different from (e) or (f)) 5. Shares and securities (a) Quoted shares and securities [Rule 3(1)(c)(I)] (i) Description of security/share (A) Name of issuer __________________ (B) Number of securities/shares __________________ (C) Type of security/share ___....

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....f location __________________ (iii) Name(s) under which held __________________ (iv) Cost of acquisition __________________ (v) Date(s) of acquisition __________________ (vi) Value as determined under Rule 3(1)(c)(III) __________________ (vii) Date of valuation __________________ (viii) Fair Market value as per Rule 3 __________________ (Provide separate computation if different from (iv) or (vi)) (6) Any other asset (a) Description of asset __________________ (b) Country of location __________________ (c) Name(s) under which held __________________ (d) Value as determined under Rule 3(1) __________________ (e) Date of valuation __________________ (f) Fair Market value as per Rule 3 __________________ (Provide se....