Form of application for settlement of cases under section 245C(1) of the Income-tax Act, 1961 (Omitted)

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..... count Number 3. Status [see Note 4] 4. The Commissioner having jurisdiction over the applicant 5. Assessment year(s) in connection with which the application for settlement is made 6. Date of filing the return of income for assessment year(s) referred to in column 5 7. Proceedings to which application for settlement relates, the date from which the proceedings are pending and the income-tax authority before whom the proceedings are pending [See Note 6] 8. Where any appeal or application for revision has been preferred after the expiry of the period specified for the filling of such appeal or application for revision, as the case may be, whether such appeal or revision has been admitted. 9. Date of seizure, if any, under section .....

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..... icate. 2. The application for settlement must be accompanied by a fee of five hundred rupees. The fee should be credited in a branch of the authorised bank or a branch of the State Bank of India or branch of the Reserve Bank of India and the triplicate challan sent to the Settlement Commission, with the application for Settlement. The Settlement Commission will not accept cheques, drafts, hundies or other negotiable instruments. 3. *The number and year of application will be filled in the office of the Settlement Commission. 4. Please state whether individual, Hindu undivided family, company, firm, an association of persons, etc. 5. If the space provided is found insufficient, separate enclosure may be used for the purpose. 6. In the c .....

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..... e, which has not been disclosed before the Assessing Officer. 2. Additional amount of income-tax payable on the said income. 3. Full and true statement of facts regarding the issues to settled, including the terms of settlement sought for by the applicants. 4. The manner in which the income referred to in item No. 1 has been derived. Place ……………… Date ………………. …………………. Signed (Applicant) Note: The Annexure should be accompanied by - (i) statement(s) containing computation of total income of the applicant for the assessment year or years to which the application for settlement relates, in accordance .....

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