Legal Documents Library

FORM FOR OBTAINING INCOME TAX CLEARANCE CERTIFICATE UNDER SECTION 230A INCOME TAX ACT 1 9 6 1

Form No. 34A

Application for a certificate under section 230A(I) of the Income-tax Act, 1961

To,

The Assessing Officer,

Sir,

I, request that a certificate under sub-section (1) of section 230A of the Income-tax Act, 1961, be granted to me. I give below the necessary particulars:

1. Full name and address of applicant (in block letters)

2. Status (whether individual, HUF, etc.)

3. Name of father (or husband)

(To be filled in if the applicant is an individual)

4. (i) In case any assessment has been made on the applicant under the Indian

Income-tax Act, 1922/Income-tax Act, 1961/Wealth-tax Act, 1957/Expenditure-tax Act, 1957/Gift-tax Act, 1958 name of Income-tax Circle/Ward/District in which such assessment in respect of the latest year was made.

(ii) If no assessment has been made as stated above, whether a return has been submitted under any of the said Acts for any year, and if so, the amount of income/wealth/ expenditure/gift returned for each such year and the Circle/Ward/District where such return has been filed.

5. (i) Names and addresses of all firms or associations of persons or bodies of individuals in which applicant is a partner or member and the Income-tax Circle/Ward/ District in which each such firm or association of persons or body of individuals is assessed to tax.

(ii) Names and addresses of all private limited companies in which applicant is or has been a director at any time after 1st April, 1962 and the Circle/Ward/District in which each such company is assessed to tax.

6. Particulars of existing tax liability as on the date of the application under-

CAP/Asst. year Amount Rs.

(i) the Excess Profit Tax Act, 1940

(ii) the Business Profits Tax Act, 1947

(iii) the Indian Income-tax Act, 1922

(iv) the Income-tax Act, 1961

(v)the Wealth-tax Act, 1957

(vi) the Expenditure-tax Act, 1957

(vii) the Gift-tax Act, 1958

(if there is no existing liability against " applicant on the date of the application under any one of the aforesaid Acts, this should be indicated by writing 'Nil' against the name of the relevant Act).

7. (i) Nature of the document i.e. whether a deed of sale, gift, settlement, lease, etc. proposed to be registered.

"FORM NO. 27E

(See section 206C and rule 37E)

Half yearly return of collection of tax under section 206C of I.T. Act, 1961 in respect of collections for the period ending ................

1. Particulars of Seller

(a) Name of Seller

(b) Address : Flat / Door/ Block No.

Name of Premises / Building/

Road / Street / Lane

Area / Locality /

Town / District / City

PIN

State

(c) Tax Collection Account Number

(d) Permanent Account Number

2.* Has address of the seller changed

Tick as applicable Yes No

3. (a) Please tick the boxes below indicating the collection made during the half year from which tax was required to be collected at source by you under the Income Tax Act, 1961

A

B

Alcoholic liquor for human consumption Timber obtained under a forest lease.

Timber obtained by any mode other than under a forest lease Any other forest produce not being timber or tendu leaves

D

C

E Scrap

(b) Please furnish information in separate Annexures as per the enclosed proforma for each type of collection indicated in item (a) above.

4. Details of tax collected and paid to the credit of the Central Government

S. N o .

Am o un t C o ll e ct e d Tra n sf e r Vo u c he r / C ha l la n N o. g iv e n b y Ba n k D a t e o f Tra n sf e r V o uc h e r / C h a ll a n

B a nk B ra n ch C o d e

S ec t io n C o d e

( 1 35 )

(1 3 7 )

( 1 36 )

( 1 38 )

(1 3 9 )

(1 4 0 )

T ot al

N o t e - Wh e re co l le

FORM NO.27C

[See rule 37C]

Declaration under sub-section (1A) of section 206C of the Income-tax Act,

1961 to be made by a buyer for obtaining goods without collection of tax

PART I

I/We* ………..,*son/daughter/wife of ……., resident of …. @, do hereby

declare –

1. that *my/our present occupation is ………;

2. that ………………………… is to be utilised for [nature of the

goods referred to in the Table in sub-section (1) of section 206C]

the purpose of *manufacturing/processing/producing articles or things and

not for trading purposes;

3. that *I am/we are assessed to income-tax by the Assessing Officer …..

Circle/Ward and the permanent account number allotted to me is ….;

OR

THAT *I was/we were last assessed to income-tax for the assessment year ….

by the Assessing Officer ….. Circle/Ward and the permanent account number

allotted to me is ….;

OR

THAT *I/we have not been

FORM NO. 13D

[See rule 28(4)]

Application for a certificate under section 194G(2) of the Income-tax Act, 1961, relating to deduction of income-tax from payments of commission, etc., made to persons who are or have been stocking, distributing, purchasing or selling lottery tickets

To,

The Assessing Officer,

Sir,

I

[name]

of do hereby declare that

[address]

my total income (including income comprised in payments of the nature referred to in section 194G of the income-tax Act, 1961) computed in accordance with the provisions of that Act for the previous year relevant to the assessment year 19 19

'FORM NO. 27

(See rule 37A)

Statement of deduction of tax from interest, dividends or any other sum payable to (i) persons, not being companies, who are non-residents or residents but not ordinarily

residents, and (ii) companies which are neither Indian companies nor companies which have made the prescribed arrangements for the declaration and payment of dividends

within India, for the period ending________________.

1. Particulars of the person making deduction of tax

(a) Name

(b) Address : Flat / Door/ Block No.

Name of Premises / Building/

Road / Street / Lane

Area / Locality /

Town / District / City

PIN

State

(c) Tax Deduction Account Number

(d) Permanent Account Number

2.* Has address of the person making deduction of tax changed

Tick as applicable Yes No

3. Status as defined within the meaning of section 204 read with rule 30 Tick as applicable Central Govt. Others

4. (a) Please tick the boxes below indicating the section and type of payment (other than "Salaries") made during the year from which tax was required to be deducted at source by you

under the Income Tax Act, 1961

194E 195 196A 196B 196C 196D

193

(b) Please furnish information in separate Annexures as per the enclosed proforma for each type of payment indicated in item (a) above, viz, interest, dividends etc. including the pay-

ments on which no tax has been deducted on the basis of certificate issued by a chartered accountant.

5. Details of tax deducted and paid to the credit of the Central Government

S . No .

A mo u n t

FORM NO. 26A

[See section 194A and rule 37]

Annual return of deduction of tax from interest other than “Interest on securities” under section 296 of the Income-tax, 1961, for the

year ending 31^st March, …………….

(b) Permanent Account Number

2. Details of the person responsible for paying any income by way of interest other than interest on securities

(a) Name /Designation

(b) Address

Flat/Door/Block No.

Name of premises/Building

Road/Street/Lane

Area/Locality

Town/City/District

State

Pin Code

© Has address of the person responsible for paying any income by way of interest Tick as applicable Yes No.

Other than “Interest on securities” changed since submitting the last return

Payee

Gross amount of interest paid during the year (Rs.)

Total amount of interest on which no tax deducted

(Rs.)

Total amount of interest on which tax deducted

(Rs.)

Total amount of tax deducted

Income-tax (Rs.)

Surcharge (Rs.)

Total

(Rs.)

(1)

(2)

(3)

(4)

(5)

(6)

1. Companies

2. Person other than companies

Total

4. (a)Total amount of interest on which no deduction was made in accordance with

the provision of section 194A(3)(iii) and section 196

(b)Total amount of interest on which no deduction was made in accordance with

the provision of section 194A(3)(i)

©Total number of payees to whom interest was paid without deduction of tax in

accordance with the provision of section 194A(3)(i)

(d)Total

FORM NO. 15F

[See rule 29C(1)]

Declaration under section 197A(1) of the Income-tax Act, 1961, to be made by an individual claiming receipt of ‘Interest on securities’ without deduction of tax

I,

son/daughter/wife of

resident of do hereby declare

THAT the securities, particulars of which are given below, stand in my name and are beneficially owned by me and the interest therefrom is not includible in the total income of nay other person under sections 60 to 64 of the Income-tax Act, 1961

Description of securities

No. of securities

Date(s) of

securities

Amounts of securities

Date(s) on which

the securities

were acquired by

the declarant

THAT my present occupation is : -

1. that the tax on my estimated total income including the interest on securities referred to paragraph I above, computed in accordance with the provisions of the Income-tax Act, 1961, for the previous year ending on ------------------- relevant to the assessment year 19 --------

FORM NO. 15D

[See rule 29B]

Application by a person other than a banking company for a certificate under section

195(3) of the Income-tax Act, 1961, for receipt of sums other than interest

and dividends without deduction of tax

To

The Assessing Officer,

…………………………..

…………………………..

Sir,

I, …………………………………, being the principal officer of....................................……..,

we....................................………………………………………………………………………...................

[name of the person, firm or company untitled to receive sums other than interest and dividends]

do hereby declare:

(a) that I/…………………………………………………………………………………….

[name of the firm, company, etc.]

am/is a non-resident assessee

FORM NO. 13E

[See rule 28(5)]

Application for a certificate under section 194J(2) of the Income-tax Act, 1961, relating to deduction of income-tax from payments of fees for professional or technical services

To,

The Assessing Officer,

Sir,

I,,

[name]

of do hereby declare that

[address]

my total income (including income comprised in payments of the nature referred to in section 194J of the income-tax Act, 1961) computed in accordance with the provisions of that Act for the previous year relevant to the assessment year 19 19 *was less than the minimum liable to income-tax/amounted to

FORM NO.65

[See rule 11P]

Application for *exercising/renewing option for the tonnage tax scheme under *sub- section

(1) of section 115VP or sub - section (1) of section 115VR of the Income-tax Act, 1961.

To,

The Joint Commissioner,

…………………………

Sir,

I, on behalf of , hereby apply for *exercising /renewing the option for the tonnage tax

[Nam e of t he c om pany ]

scheme in accordance with the provisions of *sub-section (1) of section 115VP or sub-section (1)

of section 115VR of the Income-tax Act, 1961 with effect from the assessment year………..

2. A statement of particulars for the purpose of *exercising /renewing the option is

enclosed as per Annexure to this Form.

 

Verification **

I, ………………………………(full name in block letters), do hereby declare that what is

stated in this application and the Annexure hereto is true to the best of my information

and belief. I further confirm that:

(1) is an Indian company within the meaning of clause

[Name of the company]

(26) of section 2 of the Income-tax Act, 1961.

(2)The place of effective management of the company within the meaning of section

115VC of the Income-tax Act, 1961 is in India.

(3) The company owns …… qualifying ship(s).

(4) The main object of the company is operation of ships. Copy of Memorandum of

Association of the company is enclosed.

2. I further declare that I am making this application in my capacity as ………………

and I am also competent to make this application and verify it.

………………………………

Name and Signature

Place: ………..

Date : ………

Note:

1. This application should be filed with the Joint Commissioner of Income-tax

having jurisdiction over the applicant company.

2. All the columns in the application must be filled in. Part A and Part B (if

applicable) of the Annexure must be filled in, failing which the application

shall be treated as incomplete.

3. * Strike out whichever is not applicable.

4. ** Before signing the verification every person should satisfy himself that the

application, the accompanying statements and documents are, to the best of

his knowledge and belief, correct and complete in all respects. Any person

making any false statement shall be liable to be prosecuted under section

277 of the Income-tax Act, 1961.

5. The application shall be signed and verified on behalf of the company by the

managing director of the company, or

FORM NO.64

Statement of income distributed by Venture Capital Company or a Venture Capital Fund

to be furnished under section 115U of the Income-tax Act, 1961

1. Name of the Venture Capital Company or

Venture Capital Fund and the address of

registered office

2. Permanent Account Number

3. Previous Year ending

4. Name and address of the Directors of the

Venture Capital Company/trustees of the

Venture Capital Fund

5. Total income under all heads received from

the investments in Venture Capital

Undertakings (6+8+10+12)

6. Total income received from the

investments in Venture Capital

Undertakings under the head ‘Long term

Capital Gains’

7. Proportion of (6 to 5)

8. Total income received from the

investments in Venture Capital

Undertakings under the head ‘Short term

Capital Gains’

9. Proportion of (8 to 5)

10. Total Dividend income received from the

investments in Venture Capital

Undertakings

11. Proportion of (10 to 5)

12. Other income (such as interest etc.)

received from the investment in Venture

Capital Undertakings

13. Proportion of (12 to 5)

14.

FORM NO.63

[See rule 12B]

Statement to be furnished to the Assessing Officer designated under rule 12B of the Income-tax

Rule, 1962, in respect of income distributed by the Unit Trust of India

(Separate forms to be filled up for each scheme)

1. Address of Registered Office

2. Permanent Account Number

3. Previous Year ending

4. Name and address of the office bearers

5. Name of Scheme

6. Face Value of Unit

7. Total No. of Units

8. Details of income distributed

Distribution or Tax payable Interest Payment towards

Payment of Income under section chargeable tax and interest

115R under under section 115-S

section 115S, (Attach a copy

if any of challans)

Date(s) Amount(s)

Dates(s)