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Income-Tax Rules, 1962

This document contains Form No. 15G for declaring certain incomes without deduction of tax under the Income Tax Act of 1961. Part I of the form requires information about the assessee such as name, PAN, residential status, address, estimated income amount, and details of the income. Part II is to be filled by the person responsible for paying the income, and requires their details and confirmation of receiving the declaration. The declaration verifies that the income amounts and details provided are true to the best of the assessee's knowledge and the tax on the income will be nil.

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94 views2 pages

Income-Tax Rules, 1962

This document contains Form No. 15G for declaring certain incomes without deduction of tax under the Income Tax Act of 1961. Part I of the form requires information about the assessee such as name, PAN, residential status, address, estimated income amount, and details of the income. Part II is to be filled by the person responsible for paying the income, and requires their details and confirmation of receiving the declaration. The declaration verifies that the income amounts and details provided are true to the best of the assessee's knowledge and the tax on the income will be nil.

Uploaded by

Abdul Sattar
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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INCOME-TAX RULES, 1962

FORM NO.15G
[See section 197 A(1), 197 A (1A ) and rule 29C]

Declaration under section 197A(1) and section 197A (1A) to be made by an


individual or person (not being a company or firm) claiming certain incomes
without deduction of tax.

PART I

1. Name of Assessee (Declarant): 2. PAN of the Assessee:


3. Status: 4. Previous Year (P.Y.) : 5. Residential Status:
(for which declaration is being made)
6.Flat/Door/ Block No: 7. Name of premises : 8. Road/Street/Lane: 9. Area/Locality:

10. Town/City/District: 11. State: 12. PIN: 13. Email:

14. Telephone No. (with STD 15 (a) Whether assessed to tax under the Yes No
Code) and Mobile No. Income-tax act, 1961:
(b) If yes, latest assessment year for which assessed

16. Estimated income for which this declaration 17. Estimated total income of the. P.Y. in which
Is made. Income mentioned in column 16 to be included.

18. Details of Form No. 15G other than this form filed during the previous year, if any :
Total No. of Form 15G filed Aggregate amount of income for which Form No. 15G filed

19. Details of the income for which this declaration is filed.


Sl. Identification number for relevant Nature of income Section under which Amount of income
No Investment/account, etc. tax is deductible.
1

Signature of the declarant

Declaration / Verification

*I/We _______________________do here by declare that to the best of *my/our knowledge and believe what is stated above
is correct, complete and is truly stated. *I/We declare that the incomes referred to in this form are not includible in the total
income of any other person under sections 60 to 64 of the Income-tax act, 1961. *I/We further declare that the tax *on aggregate
amount of *income/incomes referred to in column 18 computed in accordance with the provisions of Income-tax, Act 1961. For
the previous year ending on _____________, relevant to the assessment year _____, will be nil. *I/We also declare that *my/our
*income/incomes referred to in column 16 *and the aggregate amount of *income/incomes referred to in column 18 for the
previous year ending on ________relevant to the assessment year ______will not exceed the maximum amount which is not
chargeable to income tax.

Place:
Date: Signature of the declarant
PART II

[ To be filled by the person responsible for paying the income


Referred to in column 16 of of Part I ]

1. Name of the person responsible for paying 2. Unique Identification No.

3. PAN of the person 4. Complete Address 5. TAN of the person responsible for paying
responsible for paying

6.Email 7. Telephone No. (with STD Code) and Mobile No. 8. Amount of income paid

9. Date on which Declaration is received 10. Date on which the income has been paid / credited.
(DD/MM/YYYY) (DD/MM/YYYY)

Place:
Date:
Signature of the person responsible for paying
the income referred to in column 16 of part I

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