Exercise of option for relief from taxation in income from retirement benefit account maintained in a notified country under section 158 of the Act

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.... (i) Name (refer Note 1) (ii) Address (refer Note 2) (iii) Permanent Account Number   (iv) Email ID   (v) Contact Number Country Code   2. Tax year in respect of which option is being exercised yyyy-yy PART-B 3. Details of all the specified accounts maintained by the specified person A. Details of specified....

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....ecify (ix) Amount of income from the specified account which has already been included in the income of any earlier tax year during which such income accrued as referred to in rule 74(2)(a)   (x) Specify the tax year or years in which amount referred to in (ix) has been included Tax year Amount of income Whether ITR filed Acknowledgement Num....

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....y at the time of withdrawal or redemption (select one) 1. Yes 2. No 5. Other details to be provided as separate enclosure: Attach as per note 4 Declaration I________________ (name) holding Permanent Account Number_________________ hereby declare that I have exercised the option for all the specified accounts mentioned in row 3 above. I understand that the said option, once exe....

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....years, under rule 74(3). 4. The following details shall be provided as annexures, namely :- Annexure Particulars A-1 A copy of statement of the specified account having following details- i. the account number of all the specified accounts; ii. the notified country in which such account has been opened; and iii. the balance in the specified account as on last date of the fi....