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FORM NO.10CCAI    [See rule 18BBA(9)]    Report under section 80HHF(4) of the Income-tax Act, 1961         1.  I/We have examined the accounts and records of  ..................................................……………................................................................................................  ........................................................  (mention  name , address  and  Permanent  A ccount   Number of  the  assessee, being an Indian company) engaged  in  the  business  of  export  or transfer  by  any means out  of  India  of    film software /  television software / music software / television  news software , including  telecast rights (hereafter  referred  to  as  software  or  software  rights ) during  the  year  ended  on 31st  day  of  March .........................      2.  I / We certify that the business of the assessee in respect of software or software rights is not prohibited  by any law for the time being  in force as mentioned in sub-section (6) of section 80HHF.      3.  I/We certify that the deduction to be claimed by the assessee under sub-section (1) of section 80HHF of  the Income-tax Act, 1961, in respect of the assessment year  ..................  is Rs. ................ which has  been determined on the basis of the consideration/ sale proceeds in respect of software or software  rights received by the assessee in convertible foreign exchange. The said amount has been worked out  o n the basis of the details given in Annexure to this Form.       4.  I/We, therefore, certify that the total deduction to be claimed by the assessee under section 80HHF in  respect of the assessment year ................................. is Rs. ..................................      5.  In   my/our opinion and to the best of  my/our information and according to the information given to   me/us and on the basis of the relevant records made available to me/us the particulars given above and  in the Annexure to the Fo rm are true and correct.          Date ............................        ................................................        Sign       Accountant                                       ANNEXURE    (See paragraph 3 of Form No.10CCAI)            Details relating to claim of the assessee, being an Indian company, engaged in export or transfer by  any means out of  India of software or software rights for deduction under section 80HHF of the  Income-tax Act, 1961           1.  Name of the assessee-company   .......................................  2.  Assessment year   .......................................  3.  Export turnover relating to :-      .......................................    (i)  Export of film software   .......................................    (ii)  Export of music software   .......................................    (iii)  Export of television news software   .......................................    (iv)  Export of television software   .......................................    (v)  Export of telecast rights   .......................................    Total export turnover  4.  Total turnover of the business of the assessee   .......................................  5.  Total profits of the business of the assessee   .......................................  6.  Profits derived fro m the business referred to in sub -section (1) of     section 80HHF computed under sub-section (3) of the said section [3/4   x 5]  7.  Deduction under section 80HHF to which the assessee is entitled  .......................................   Yes / No.  8.  (i)  Whether the full consideration in convertible foreign exchange  was brought into India within a period of six months from the end  of the previous year    (ii)  If not, whether it was brought into India within such further period  in the previous  year as allowed by the Competent Authority  Yes / No.         (iii)  Specify the amount and the relevant previous year in case such  amount is brought into India in convertible foreign exchange  beyond the period of six months from the end of relevant previous  year and with the approval of the Competent Authority ,where  such amount relates to any other previous year. Also state the  name of the authority and the period upto which the approval was  accorded           .......................................    Download Word Document In English. (Rs.20/-)

FORM M-2 [ See  rule 10(2)(c)] Warrant of authorisation under sub-section (2) of section 37A of the Wealth-tax Act, 1957 To The Deputy Director , The Deputy Commissioner, The Assistant Director, The Assistant Commissioner, The Income-tax Officer, ................................................................... Whereas information has been laid before me and on the consideration thereof I have reason to suspect that the books of account or other documents, articles or things (including money) in respect of which .................................. [name and designation of authorised officer ] ................................... has been authorised by the Director General or Director /Chief Commissioner of Commissioner/Deputy Director/Deputy Commissioner ................................ to take action under clause (i) to (vi) of sub-section 37 of the Wealth-tax Act, 1957, or is kept in ...................................................................................................... [specify particulars of the building, place, vessel, vehicle or aircraft ]  And Whereas the building/place/vessel/vehicle/aircraft specified above has/have not been mentioned in the warrant of auhtorisation under sub-section (1) of section 37A of the of the wealth tax act, 1957, by the Director General or Director/Chief Commissioner or Commissioner/Deputy Director]/[Deputy Commissioner ; This is to authorise and require you ............................................... [name of the Deputy Director or of the Deputy Commissioner or of the Assistant Dirctor or of the Assistant Commissioner or the Income-tax Officer---- to enter and search the said building/place /vessel/vehicle/aircraft; to search any person who has got out of or is about to get into, or is in the building / place / vessel / vehicle aircraft if you have reason to suspect that such person has secreted about his person any such books of account, other documents, articles or things, including money; to place identification marks on such books and documents as may be found in the course of the search and as you may consider relevant to or cause to or useful for the proceedings aforesaid and to make a list thereof together with particulars of the identification marks; to examine such books and/or documents, and make or cause to be  made, copies or extracts from  such books and documents; to seize such books and /or documents, and take possession thereof; to  make a note or an inventory of any such articles or things, including money; to convey such books and/or documents to the office of the Deputy Commissioner or any other authority not below the rank of an /income-tax Officer employed in the execution of the wealth-tax Act, 1957, and  to exercise all other powers and performs all other duties under the said section and the rules relating thereto. You may requisition the services of any police officer or any officer of the Central Government, or of both, to assist you for any of the purposes specified in sub-section (1) of section 37A of the Wealth-tax Act, 1957. (Seal) Chief Commissioner or Commissioner Download Word Document In English. (Rs.15/-)

FORM DB [See rule 4C] Declaration under section 18C(1) of the Wealth-tax Act, 1957 to be made by an assessee claiming that identical question of law is pending before the High Court or the Supreme Court I, ...............................................................................................................................................................,. son/ [Name in full in block letters] daughter/wife of shri .............................................................. being the* ......................................................... of ...................................................do hereby declare :- That the following question(s) of law is/are pending in my case/in the case of ................................ .......................................................................... before the **High Court/Supreme Court on a reference under section 27 Supreme Court on an appeal under section 29 in respect of the assessment year ....................... **A copy of the statement of the case and the question(s) of law referred to the High Court/Supreme Court is/are enclosed. **A copy of the judgement of the High Court and grounds of appeal to the Supreme Court is/are enclosed.  That the said question(s) of law is/are identical with the question(s) of law arising in my case/in the case of ...................................................... in respect of the assessment year ........................... which is pending before *** ............................................................ That if the *** ................................... agrees to apply to the case referred to in paragraph 1 above. **I/the assessee mentioned in paragraphs 1 and 2 above, shall not raise the said question(s) of law in the case referred to in paragraph 2 above in appeal before any appellate authority or for a reference before the High Court or the Supreme Court under section 27 or in appeal before the Supreme Court under section 29. ..................................................................... Signature of the declarant  .................................................................... Permanent Account No. ..................................................................... Address of the assessee Verification I, ......................, do hereby declare that to the best of my knowledge and belief what is stated above is correct, complete and is truly stated. I, further declare that I am making the declaration in my capacity as .......................... and that I am competent to make this declaration and verify it. Verified today, the ......................... day of ............... 19 ................ Place ........................... ...................................................................... Signature of the declarant Notes : The declaration should be in duplicate when it is furnished to the Deputy Commissioner (Appeals) or the Commissioner (Appeals) and in triplicate when it is furnished to the Appellate Tribunal. *Mention the capacity in which the declaration and verification is made. **Delete whichever is not applicable. ***Mention the designation of the officer or authority to whom or to which the declaration is furnished. Give complete postal address. Where the declarant is not the assessee, also give the complete postal address of the assessee. Download Word Document In English. (Rs.15/-)

FORM NO. 47 [See rule 113] Form for furnishing information under clause (b) of sub-section (1) of section 138 of the Income-tax Act, 1961 No................  Office of the..........……………………...... …………………………………………… Date.......................................................... To .................................. ................................ With reference to your application dated.……….......... under clause( b) of sub-section (1) of section 136 of   the   Income-tax   Act,   1961,   requesting for information relating to ……………………… ……………………… in respect of the assessment year commencing on the 1st day of April,  …………., the said information/information respecting item Nos. ………………… of the said, application is given below:— Name and address of the assessee .............................................................................................. Status ....................................................................................................................................... Assessment year ........................................................................................................................... 1. ..................... 2. ..................... 3 ....................... 4. ...................... 5. ...................... etc. 2. I/Chief Commissioner or Commissioner of  Income-tax, ………….......…………………. am/is not sat- isfied that it is in the public interest to furnish information respecting item Nos. ..........of your applica- tion and the information relating thereto is accordingly refused. (SEAL)  …………………………….. Signature of the authority furnishing the information Note: Delete inappropriate words. Download Word Document In English. (Rs.15/-)

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 assessed to income-tax at any time in the past but I fall within the jurisdiction of the Chief Commissioner of Commissioner of Income-tax ….;  ………… **Signature of the declarant Verification I/We …. do hereby declare that to the best of my/our knowledge and belief what is stated above is correct, complete and is truly stated. Verified today, the ….. day of ……. Place …..         ……………  Signature of the declarant Note: 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 a Hindu undivided family, association of persons, firm 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.  Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961, and on conviction be punishable - (i) in a case where tax sought to be evaded exceeds one lakh rupees, with rigorous imprisonment 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 which shall not be less than three months but which may extend to three years and with fine. PART II [FOR USE BY THE PERSON TO WHOM THE DECLARATION IS FURNISHED] 1. Name and address of the person responsible for collecting tax at the time of the sale of the goods referred to in paragraph 2. 2. Date on which the declaration was furnished by the declarant. 3. Date of debiting of the amount payable by the buyer to the account of the buyer or receipt of the amount payable from the buyer in cash or by issue of a cheque or draft or by any other mode. Forwarded to the Chief Commissioner or Commissioner of Income-tax. … Place …….. Date ……...  ……………… Signature of the person responsible for collecting tax at the time of the sale of the goods referred to in paragraph 2. Download Word Document In English. (Rs.30/-)

FROM NO. 3CK Application form for entering into an agreement with the Department of Scientific and Industrial Research for cooperation in in-house Research and Development facility and for audit of the accounts maintained for that facility PARTA 1. Name and Address of the registered office of the company including Telex/Fax/Phone numbers. 2. Permanent Account Number (PAN) of the company. 3. Please specify the nature and Business/activity of the com- pany— Manufacture/production of- Drugs Pharmaceuticals Electronic Equipments Computers Telecommunication Equipments Chemicals Any other article or thing notified under sub-section (2AB) of section 35 (Please specify) 4. Annual production of the eligible products of the company during the past three years. 5. Annual expenditure on scientific research of the company during the past three years, giving break-up of expenditure on land and buildings. 6. Please give details of the nature of existing in-house Re- search and Development facilities including the address of the in-house Research and Development facility. 7. Registration number, date and validity of recognition granted by Department of Scientific and Industrial Research to the in-house Research and Development centre of the company. 8. Proposed objectives of scientific research contemplated by the company.  PART B AGREEMENT Whereas, ……................ (hereinafter referred to as First Party) and the Department of Scientific and Indus- trial Research (hereinafter referred to as Second Party), have decided to enter into an agreement, that— (i) the First Party shall maintain an in-house Research and Development facility to be approved by the Second Party. (ii) the above Research and Development facility shall be exclusively used by the First Party to carry out scientific research relating to manufacture or production of any drugs, pharmaceuticals, elec- tronic equipments, computers, telecommunication equipments, chemicals or any other article or thing notified by the Central Board of Direct Taxes, under sub-section (2AB) of section 35, (iii) the First Party shall provide full co-operation to the Second Party in carrying out the Research and Development work relating to manufacture or production of any drugs, pharmaceuticals, electronic equipments, computers, telecommunication equipments, chemicals or any other ar- ticle or thing notified by the Central Board of Direct Taxes. under sub-section (2AB) of section 35, (iv) the First Party shall maintain separate accounts for both revenue and capital expenditure on scien- tific research including that on in-house Research and Development facility, which shall be annu- ally audited by an accountant as defined in section 288(2) of the Income-tax Act, 1961, and a copy of which has to be attached with the return of income under sub-section(l) of section 139 to claim deduction under section 35(2AB), (v) subject to the First Party meeting the conditions specified under sub-section (2AB) of section 35, and on being satisfied of the feasibility of the said in-house Research and Development facility in terms of its objectives and of the genuineness of the expenditure on said Research and Develop- ment facility by the First Party, the Second Party shall submit its report in relation to the approval of the said facility to the Director General of Income-tax (Exemptions) within a period of sixty days from the date on which the First Party makes application in the Form No. 3CK. Agreed on the...........................day of..........................month of..........year. First Party …………………… Signature of the Principal Officer of the company (Name, Designation and address) Place.............................. Date............................... Witness …………………………… Signature (Name and address) Place.............................. Date............................... Second Party ……………………………. Signature of/on behalf of the Secretary, Department of Scientific & Industrial Research Place.............................. Date............................... Witness ………………………… Signature (Name and address) Place.............................. Date............................... PART C Certified that the above information is true to the best of our knowledge and belief. We undertake to: (i) maintain separate accounts for both revenue and capital expenditure on scientific research in- cluding that on in-house Research and Development facility, which shall be annually audited by an accountant as defined in sub-section (2) of section 288 of the Income-tax Act, 1961, and a copy of which has to be attached with the return of income under sub-section (1) of section 139 to claim deduction under sub-section (2AB) of section 35; (ii) submit annual progress reports to the Secretary, Department of Scientific and Industrial Research; (iii) render full co-operation in carrying out the Research and Development work relating to manufac- ture or production of any drugs, pharmaceuticals, electronic equipments, computers, telecommu- nication equipments, chemicals or any other article or thing notified by the Central Board of Direct Taxes, under sub-section (2AB) of section 35; and (iv) assets acquired by the approved facility will be utilised only for the approved purpose and shall not be disposed off without the approval of the Secretary, Department of Scientific and Industrial Research. …………………………………….. …………………………………….. …………………………………….. …………………………………….. Signature of the Principal Officer of the company (Name, Designation and address) Place.............................. Date............................... Notes : 1. Six sets of duly filled applications are to be submitted to the Secretary, Department of Scientific & Industrial Research. 2. Copy of the latest Annual Report along with Balance Sheet has to be enclosed. 3. Enclose a copy of DSIR recognition of the in-house (R&D) centre. Download Word Document In English. (Rs.30/-)

FORM NO. 3AB [See rule 6AAB] **Statement of expenditure to be furnished for the purposes of deduction under section 35CC of the Income-tax Act, 1961 1. Name and address of the *company/co-operative society 2. Permanent Account Number  3. Previous year 4. Assessment year 5. Date on which the programme of rural development was approved by the prescribed authority [please attach a true copy of the order of the prescribed authority approving the programme] 6. (a) Copy of the programme of rural development as approved by the prescribed authority (a) Particulars of rural area covered by the programme  (a) Particulars of work done during the previous year towards implementing the approved programme of rural development  [please attach separate sheet(s), if necessary] 7. Total expenditure incurred during the previous year on the approved progtamme of rural development  8. Where any part of the expenditure referred to in item 7 above has been incurred before the approval of the programme of rural development by the prescribe authority, please specify the amount thereof  9. Qualifying amount of expenditure [item 7 minus item 8] 10. Amount of expenditure, out of the expenditure referred to in item 9 above, which has resulted in the acquisition or creation of any one or more of the following assets:- (i)  Land (ii) Building  (iii) Machinery or plant  (iv)Furniture  TOTAL 11. (a) Has the *company/co-operative society divested itself of the ownership of the assets referred to in item 10 above before the end of the previous year? (b) If the answer to (a) above is in the affirmative, please indicate the date on which and the persons/authority in whose favour the property has been divested  (c) © If the answer to (a) above is in the negative, please specify the amount of expenditure which has resulted in the acquisition or creation of assets the ownership whereof has not been so divested 12. Where the expenditure referred to in item 10 above includes any expenditure in respect of work-in-progress, please specify the amount thereof 13. Amount of expenditure referred to in item 9 above which has hot resulted in the acquisition or creation of any asset, being land, building, machinery, plant or furniture [Please annex  a break-up of various items of expenditure under appropriate account heads, e.g. purchase of goods, salaries and wages of regular employees, other salaries and wages, conveyance and travelling, etc. Any item under which the expenditure exceeds Rs. 5,000 should be shown as a separate and distinct item against an appropriate accounted and not combined with any other item or shown under “Miscellaneous expenses”. Where the approved programme of rural development consists of more than one separate and distinct project, a break-up of expenditure on the above lines should please be furnished in respect of expenditure incurred in respect of each such project separately] 14. Where the entire expenditure incurred on the approved programme of rural development has not been debited to a separate account, please specify the various accounts to which such expenditure has been debited and the amount debited to each account 15. (a) Where the assessee has maintained original bills, receipt, etc., in respect of the expenditure referred to in item 9 above  (b) whether such expenditure has been checked with reference to the bills, receipts, etc., and found to be in order  16.         (a)   Whether any payment exceeding Rs. 2,500 has been made in respect of the expenditure on the approved programme of rural elopement otherwise than by a crossed cheque or a crossed bank draft-section 40A(3) of the income-tax Act. If so, please give details of such payments         (b)    Whether the expenditure incurred on the approved programme of rural development includes any expenditure not deductible under any other provision of the Income-tax Act. If so, please give particulars thereof. 17. Amount of expenditure claimed as deduction under section 35CC(1) The particulars given hereinabove have been prepared on an examination of the books of account and other documents maintained by M/s ………………………………………………………………………….. [name of the *company/Co-operative society] I/We have obtained all the information and explanation which to the best of my/our knowledge and belief were necessary for the purpose of preparing the statement of expenditure on the programme of rural development. In my/our opinion and to the best of my/our information and according to the explanations given to *me/us, the particulars given hereinabove are true and correct. Place ……………….. …………………… Date ………………… **Signed Accountant Notes : 1. **Where any expenditure has been incurred during the previous year in respect of more than one programme of rural development, please furnish separate statements in respect of each such programme. 2. *Delete whichever is not applicable. 3. ! Where the assessee has contracted any building for the purpose of the programme of rural development, please furnish break-up of the expenditure under convenient heads, e.g. purchase of materials, etc., used , salaries and wages of regular employees, other salaries and wages, etc. Any item under which the expenditure exceeds Rs. 5,000 should be shown as a separate and distinct items and not combined with any other item or shown under “Miscellaneous expenses”. 4. !This statement is to be signed by – (a) a chartered accountant within the meaning of the Chartered Accountants Act, 1949 (38 of 1949); or  (b) any person who, in relation to any State is, by virtue of the provision in sub-section (2) of section 226 of the Companies Act, 1956(1 of 1956), entitled to be appointed to act as an auditor of companies registered in that State. 5. Where the whole or a part of the approved programme of rural development has been executed on behalf of the assessee by its agent, a detailed break-up of the expenditure prepared on the basis of the statement of account rendered by the agent to the assessee and supporting bills, vouchers, etc; should be given on the lines indicated above. Download Word Document In English. (Rs.30/-)

FORM NO. 36A [See rule 47(1)] Form of memorandum of cross-objections to the Appellate Tribunal IN THE INCOME-TAX APPELLATE TRIBUNAL..............................…………………….. *Cross-objection No................of................ .....-...... **In Appeal No.................of................ .....- ...... Versus ………………………………  ……………………….. APPELLANT  RESPONDENT 1. **Appeal No.  allotted  by  the  Tribunal  to which memorandum of cross-objections relates 2. The State in which the assessment was made 3. Section under which the order appealed against was passed 4. Assessment year in connection with which the memorandum of cross-objections is preferred 5. Date of receipt of notice of appeal filed by the appellant to the Tribunal 6. Address to which notices may be sent to the respondent (cross- objector) 7. Address to which notices may be sent to the appellant 8. $Relief claimed in the memorandum of cross-objections $GROUNDS OF CROSS-OBJECTIONS 1.  2. 3.  4., etc. ………………………….  ……………………….. Signed  Signed (Authorised representative, if any)  (Respondent) Verification 1,…………………………………………., the respondent, do hereby declare that what is stated above is true to the best of my information and belief. Verified today the..........................day of................. ....  .......................................... Signed Notes : 1. The memorandum of cross-objections must be in triplicate. 2. The memorandum of cross-objections should be written in English or, if the memorandum is filed in a Bench located in any such State as is for the time being notified by the President of the Appellate Tribunal for  the purposes of rule 5A of  the Income-tax (Appellate Tribunal) Rules,  1963, then, at the option  of  the  respondent,  in  Hindi,  and  should  set  forth,  concisely  and  under  distinct  heads,  the cross-objections  without  any  argument  or narrative and such objections  should be  numbered con- secutively. 3. *The  number  and  year  of  memorandum  of cross-objections  will be  filled in  in  the  office  of  the Appellate Tribunal 4. **The number and year of appeal as allotted by the office of the Tribunal and appearing in the notice of appeal received by the respondent is to be filled in here by the respondent. 5. $ If the space provided is found insufficient, separate enclosures may be used for the purpose. Download Word Document In English. (Rs.20/-)

FORM K [ See  sub-rule (3) of rule 9] Form for furnishing non-availability of information under section 42B of the Wealth-tax Act, 1957 No. ..................... Office of the .................... Dated ................................. To  ..................................... With reference to your application dated ............................ under section 42B of the Wealth-tax Act, 1957 requesting information relating to ................................... . in respect of the assessment year commencing on the first day of April, 19 ........... I am inform you that the said information is not yet available/no assessment for the aforesaid assessment year has been made in his/her/their case. (Seal) ......................................................................... Signature Note :  Delete inappropriate words. Download Word Document In English. (Rs.15/-)

FORM NO. 34D [See rule 44E] Form of application by a person seeking advance ruling under section 245Q(1) of the Income-tax Act, 1961 in relation to the tax liability of a non-resident arising out of a transaction undertaken or proposed to be undertaken (PLEASE READ THE NOTES CAREFULLY BEFORE FILLING THIS FORM) BEFORE THE AUTHORITY FOR ADVANCE RULINGS Application No. ………….  of  ……….…. 1.  Full name and address of the applicant with telephone and Fax Number 2.  Status 3.  Commissioner and Assessing Officer having jurisdiction over the applicant 4.  Permanent Account Number 5. Name, address, telephone/fax number of the non-resident with whom the transaction is undertaken or proposed to be undertaken 6. Basis of claim that the person referred to in serial number 5 with whom the transaction undertaken or proposed to be undertaken is a non-resident 7.  Question of law or fact relating to the tax liability of a non-resident arising  out of a transaction undertaken or proposed to be undertaken on which the advance ruling is required 8.  Statement of the relent facts having a bearing on the aforesaid question(s) 9.  Statement containing the applicant’s interpretation of law or facts, as the case may be, in respect of the aforesaid question(s) 10.  List of documents/statements attached 11.  Particulars of account payee demand draft accompanying the application  …….………..……… Signed (Applicant) Verification I, ……………(name in full and in block letters)..………….. son/daughter/wife  of  ……………………. do hereby solemnly declare that  to  the best of  my  knowledge  and  belief  what  is  stated  above  and  in the   annexure(s),  including  the  documents  accompanying  such  annexure(s),  is  correct  and   complete. I further declare that I am making this application in my capacity as ……………………………………….. (  d e si g na ti o n) and that I am competent to make this application and verify it. Verified today the ………………. Day of ………………. Place ………………….  …….………..……… Signed (Applicant) Annexure I Statement of the relevant facts having a bearing on the question(s)  on which the advance ruling is required Place ……………….          …….………..……… Date  ……………….     Signed (Applicant) Annexure II Statement containing the applicant’s interpretation of law or facts, as the case may be, in respect of  the question(s) on which advance ruling is required Place ……………….          …….………..……… Date  ……………….     Signed (Applicant) Download Word Document In English. (Rs.20/-)

FORM NO. 27F [See rule 37G] Application by a buyer, under sub-section (9) of section  206C of the Income-Tax Act, 1961, for a certificate  for collection of  tax at a lower rate To The Assessing Officer __________________ __________________ __________________ Sir, I, _____________________________________, do hereby request that a certificate may issued to the      [mention name of the buyer] seller, being the person responsible for collecting  the tax from me in respect of the amount payable by me as the buyer of _________________________________________________________________________ [specify the nature of goods referred to in the Table in sub-section (1) of section 206C] authorising him to collect income-tax at the rate of ___________________ percent at the time of debit of such amount to my account or receipt thereof from me, as the case may be. 2. The particulars of by income/other relevant details are as under:  Name and address of the buyer. Status (State whether individual, Hindu Undivided Family, firm body of individuals, etc.) Residential status (whether resident/resident but not ordinarily resident/non-resident). Permanent Account Number, if any. Assessment year to which the payments relate. Estimated total income of the previous year relevant to the assessment year referred to in (e) above. (give the computation and basis thereof). Total tax payable on the income at (f). How the liability determined in column (g) is proposed to be discharged? (specify the amount to be paid by way of advance tax, tax deducted at source and tax collected at source). Total income assessed in the last three assessment years and the total tax paid for each such year:                  Assessment                       Total                                 Total                 Year                                   income (Rs.)                     tax (Rs.)           (i)           (ii)           (iii) Date and amount of advance tax, tax deducted at source and tax collected at source, if any, already paid so far. Details of income claimed to be exempt and not  included in the estimated total income, referred to in (f) above, (please append a note giving reason for claiming such exemption). Particulars of the amounts payable in respect of which the certificate is sought:  Serial  Number Full name and address Of the seller Date of sale with Reference number  Of such sale Nature and description of the goods sold and details of sale Amounts expected to  Be debited/paid in pursuance of the sale during the current finacial year and each of the three immediately  succeeding years 1 2 3 4 5 I hereby declare that what is stated in this application is correct. Place ___________                                                                       _______________________________ Date ____________                                                                      Signature of the buyer Full Name _______________________ Designation ______________________     Download Word Document In English. (Rs.20/-)

FORM NO.15H [See rule 29C(1A)] Declaration under sub-section (1C) of section 197A of the Income-tax Act, 1961, to be made by an individual who is of the age of sixty-five years or more claiming certain receipts without deduction of tax I ………..*son/daughter/wife of ……. resident of …. @ do hereby declare – 1. *that the shares/ securities/sums, particulars of which are given in the Schedule below, stand in my name and are beneficially owned by me, and the dividend/ interest in respect of such *securities/sums and/or income in respect of units is/are not includible in the total income of any other person under sections 60 to 64 of the Income-tax Act, 1961; OR *that the particulars of my account under the National Savings Scheme and the amount of withdrawal are as per the Schedule below; SCHEDULE Description and details of investment  Amount invested Date of  Estimated income to be received *investment /opening of account 2. that my present occupation is ………; 3. that I am of the age of         years and am entitled to a deduction from the amount of income-tax on my total income referred to in section 88B; 4. that the tax on my estimated total income, including *income/incomes referred to in the Schedule below computed in accordance with the provisions of the Income-tax Act, 1961, for the previous year ending on …… relevant to the assessment year ...…..-…. will be nil; 5. that I have not been assessed to income-tax at any time in the past but I fall within the jurisdiction of the Chief Commissioner of Income-tax …. or Commissioner of Income-tax ….; OR that I was last assessed to income-tax for the assessment year …..…. by the Assessing Officer ……… Circle/Ward and the Permanent Account Number allotted to me is ……..; 6. that I *am/am not resident in India within the meaning of section 6 of the Income-tax Act, 1961;  …………… Signature of the declarant Verification I …. do hereby declare that to the best of my knowledge and belief what is stated above is correct, complete and is truly stated. Verified today, the ….. day of …. Place …..  …………… Signature of the declarant Notes: 1. @ Give complete postal address. 2. The declaration should be furnished in duplicate. 3. *Delete whichever is not applicable. 4. Before signing the verification, the declarant should satisfy himself that the information furnished in the declaration is true, correct and complete in all respects.  Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961, and on conviction be punishable - (i) in a case where tax sought to be evaded exceeds one lakh rupees, with rigorous imprisonment 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 which shall not be less than three months but which may extend to three years and with fine. PART II [FOR USE BY THE PERSON TO WHOM THE DECLARATION IS FURNISHED] 1. Name and address of the person responsible for paying the income, mentioned in paragraph 1 of the declaration. 2. Date on which the declaration was furnished by the declarant. 3. Date of *declaration, distribution or payment of dividend/withdrawal from account number …..under the National Savings Scheme. 4. Period in respect of which *dividend has been declared/interest is being credited or paid/income in respect of units is being credited or paid 5. Amount of *dividend/interest or income in respect of units/withdrawal from National Saving Scheme Account. 6. *Rate at 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. … Place …….. Date ……...  ……………… Signature of the person responsible for paying the income referred to in Paragraph 1 Download Word Document In English. (Rs.20/-)