Form 15H Declaration Under Section 197a (1a) of the Income Tax Act, 1961 to Be Made by a Persons [not Being a Company or a Firm] Claiming Receipt of Interest Other Than '"interest on Securities'" or Income in Respect of Units Without Deduction of Tax - India

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FORM 15H
[(See Rules 29C(3)]
Declaration under Section 197A (1A) of the Income Tax Act, 1961 to be made by
a persons [Not being a company or a firm] claiming receipt of interest other than
“Interest on Securities” or income in respect of units without deduction of Tax
PART – 1
I/We ________________________________________ son / daughter / wife of
to ______________________________ resident of ___________________
________________________________________________________________
______ @ do hereby declares:-
1.
That the sums particulars of which are given below, stand inmy/our namd
and beneficially belong to me/us and the interest re respect of such sums
and / or income in respect of units is/are not includible in the total income
of any other person under section 60 to 64 of the income tax, 1961.
2.
That my /our present occupation is _______________________________
3.
That the tax on my/our estimated total income including the interest other
than ‘Interest on Securities’ and/or income in respect of units referred to in
paragraph 1 computed in accordance with the provisions of the income tax
Act, 1961 for the previous year ending _____________________ relevant
to the assessment year _______________ to ______________ will be nil.
4.
*That I/We have been assessed to income tax at any time in the past byt
I/WE fall within the Jurisdiction of the Chief Commissioner or
Commissioner of Income Tax __________________________________
That I was/We were last assessed to income tax for the assessment year
______- __________ by the Assessing Officer _______________________
Circle / ward / District and the permanent account number allotted to me/us is
______________________________________________________
_______________________
Signature of the declarant
VERIFICATION
I/We
_________________________________________________________
hereby declare that the contents of paragraphs 1 to 4 are true to the best of
my/our knowledge and belief and nothing has been concealed therein.
Verified today the _________________ day of _________ 200
Signature of the declarant
Part – II
(FOR USE BY THE PERSON TO WHOM THE DECLARATION IS FURNISHED)
1.
Name and address of the person responsible for paying interest on sums
or income in respect or units, as the case may be, mentioned in
Paragraph 1 of declaration.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
FORM 15H
[(See Rules 29C(3)]
Declaration under Section 197A (1A) of the Income Tax Act, 1961 to be made by
a persons [Not being a company or a firm] claiming receipt of interest other than
“Interest on Securities” or income in respect of units without deduction of Tax
PART – 1
I/We ________________________________________ son / daughter / wife of
to ______________________________ resident of ___________________
________________________________________________________________
______ @ do hereby declares:-
1.
That the sums particulars of which are given below, stand inmy/our namd
and beneficially belong to me/us and the interest re respect of such sums
and / or income in respect of units is/are not includible in the total income
of any other person under section 60 to 64 of the income tax, 1961.
2.
That my /our present occupation is _______________________________
3.
That the tax on my/our estimated total income including the interest other
than ‘Interest on Securities’ and/or income in respect of units referred to in
paragraph 1 computed in accordance with the provisions of the income tax
Act, 1961 for the previous year ending _____________________ relevant
to the assessment year _______________ to ______________ will be nil.
4.
*That I/We have been assessed to income tax at any time in the past byt
I/WE fall within the Jurisdiction of the Chief Commissioner or
Commissioner of Income Tax __________________________________
That I was/We were last assessed to income tax for the assessment year
______- __________ by the Assessing Officer _______________________
Circle / ward / District and the permanent account number allotted to me/us is
______________________________________________________
_______________________
Signature of the declarant
VERIFICATION
I/We
_________________________________________________________
hereby declare that the contents of paragraphs 1 to 4 are true to the best of
my/our knowledge and belief and nothing has been concealed therein.
Verified today the _________________ day of _________ 200
Signature of the declarant
Part – II
(FOR USE BY THE PERSON TO WHOM THE DECLARATION IS FURNISHED)
1.
Name and address of the person responsible for paying interest on sums
or income in respect or units, as the case may be, mentioned in
Paragraph 1 of declaration.
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
2.
Date on which the declaration was furnished by the declarant.
3.
Period for which interest or income in respect of units as the case may be
credited / paid __________________________________________
4.
Amount of interest or income in respect of units, as the case may be
__________________________________________
5.
Rate on which interest or income in respect of units, as the case may be is
credited / paid __________________________________________
Forwarded to the Chief Commissioner or Commissioner of Income Tax _______
____________________________
Signature of the person responsible
For Paying interest other than interest on Securities
/ income in respect of units
Place :
Date:
NOTES
1.
@Give complete postal address
2.
The declaration should be furnished in duplicate
3.
*Delete whichever is not applicable
4.
**Indicate the capacity in which the declaration is furnished on behalf of
Hindu undivided family, association of persons etc.
5.
Before signing the verification the declarant should satisfy himself that the
information furnished in the declaration is true correct and complete in all
respects.
6.
Any persons making a false statement in the declaration shall be liable to
be prosecuted under section 227 of the income tax Act, 1961 and on
conviction be punishable.
i.
in a case where the amount of tax which would have been evaded
if the statement or account had been accepted as true, exceed one
hundred thousand rupees with vigorous imprisonment for a term
which shall not be less than six months but which may extend to
seven years and with fine.
ii.
In any other case, with rigorous imprisonment for a term which shall
not be less than three months but which may extend to three years
and with fine.

Download Form 15H Declaration Under Section 197a (1a) of the Income Tax Act, 1961 to Be Made by a Persons [not Being a Company or a Firm] Claiming Receipt of Interest Other Than '"interest on Securities'" or Income in Respect of Units Without Deduction of Tax - India

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