FORM 7 - Acknowledgement of declaration of undisclosed foreign asset under Chapter VI of the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015 - Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Rules, 2015

Form 7 Tax compliance for undisclosed foreign asset [See rule 9(2)] Acknowledgement of declaration of undisclosed foreign asset under Chapter VI of the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015 Office of the Principal Commissioner/Commissioner of Income-tax, This is to acknowledge that a declaration under section 59 of the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015 has been accepted in respect of the following: 1) Name and address of the declarant: 2) Son/Daughter/Wife of 3) PAN 4) Receipt No. and date of filing the Declaration: 5) Details of Declaration Rs. [As per Annexure to Form 6 (to be countersigned by the Principal Commissioner or Commissioner)] Total fair market value of all the assets declared and accepted 6) Tax payable on the assets declared accepted Rs. 7) Penalty payable on the assets declared accepted Rs. 8) Total Amount payable (6) + (7) Rs. 9) Details of tax paid Sl BSR Code of Bank Date of Deposit (DD/MM/YYYY) Serial Number of Challan Amount (Rs) (1) (2) (3) (4) (5) i ii Date: .. (Principal Commissioner/Commissioner of Income-tax) Note: No acknowledgement will be issued unless the total amount of tax and penalty payable has been paid.