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Return of Taxable Banking Transactions

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..... the scheduled bank Receipt No. ..................... Date ................................. 2. Address of the scheduled bank Seal and Signature of Receiving Official 3. Permanent account number (PAN) 4. Financial year (Transactions relating to which are reported) - 5. Ward/Circle/Range 6. Value of taxable banking transactions Code* (Schedule) Value (in Rs.) 01. (A[4]) 02. (A[6]) 03. (A[8]) 04. (A .....

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..... 05 and Banking Cash Transaction Tax Rules, 2005. I further declare that I am making this return in my capacity as..........and I am also competent to make this return and verify it. Date ............................ Place .......................... (Name and Signature) *Codes in respect of taxable banking transaction S.No. Nature of transaction Code 1. Withdrawal of cash (by whatever mode) exceedi .....

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..... ent of one or more term deposits, whether on maturity or otherwise, in case such term deposit or deposits are in the name of a person other than any individual or Hindu undivided family. 04 Schedule - A 1. Name of the Bank .......................................... 3. PAN of the Bank .......................................... 2. Address of the Bank .......................................... 4. Fin .....

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..... tax collected (In Rs.) Banking cash transaction tax paid (In Rs.) Interest payable u/s 101 (In Rs.) Interest paid u/s 101 (In Rs.) Particulars of payment of banking cash transaction tax/interest u/s.101 Tax/interest (In Rs.) Name of the bank branch BSR code of bank branch Date of deposit Serial No. of challan Amount (In Rs.) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total Total Notes: 1. Details required i .....

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