Statement of income from a country or region outside India and Foreign Tax Credit

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....Note 3) Taxpayer Identification Number(TIN) (see Note 4) Source of income Income from outside India Income-tax paid outside India Tax payable on such income under the income-tax Act, 2025 (refer Note 6) Details of foreign tax credit under section 159 Amount of foreign tax credit under section 160 Whether amount in column (11) or (12) or any part there of is under dispute? If 'Yes' in column (13)' amount of such disputed foreign tax credit Total foreign tax credit [(15) = (11+12)] Total foreign tax credit claimed [(16) = (15)-(14)] Amount Rate Article Number of Double Taxation Avoidance Agreements (refer Note 7) Rate of tax as per Double Taxation Avoidance Agreements (re....

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....             Fees for technical services or fee for including services (refer Note 5)                               Others (specify)                         Part C: Details regarding refund of foreign tax by foreign tax authority for which credit was already claimed in India Whether carry backward of loss of current year or revision of Income Tax Return (ITR)/Income Tax Declaration (ITC) of any year(s) or any other reason has led to refund of foreign tax by foreign tax a....

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.... the assessee) for the year__________ in Part B and/or the details furnished in Part C of this form are in accordance with the applicable Double Taxation Avoidance Agreement(s) and relevant provisions of the Income-tax Act, 2025 (30 of 2025) and Income-tax Rules, 2026. I affirm that the above particulars are true and correct to the best of ^1[my] knowledge and belief. Place: Date: Signature: Name of the accountant: Designation: Membership Number: UDIN, if any: Name of the Proprietorship/Firm: Firm Registration Number: Notes: 1. The name shall include full name of the assessee. 2. The address shall include flat/door/building, road/street/block/sector, area/locality, post office, town/city/district,....