Statement to be furnished to the Assessing OFficer desiginated under rule 12B of the Income-tax Rules, 1962, in respect of income distributed by Mutual Fund (Omitted)

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..... tement to be furnished to the Assessing Officer designated under rule 12B of the Income-tax Rules, 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. Names and addresses of the office bearers 5. Name of Scheme 6. Face Value of U .....

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..... ce sheet, annual report, if any, with certified copies of income and appropriation towards distribution of income. I, -------------------------------------------------- son/daughter/wife of ---------------------do (Name in full and in block letters) hereby solemnly declare that to the best of my knowledge and belief what is stated above and in the Annexure(s), including the docume .....

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..... the income distributed to the Unit holders by the Unit Trust of India for the previous year ending----------- 2. I/We declare that the above particulars are true and correct to the best of my/our knowledge and belief. ----------------------------------------------- (Signature with name of the accountant) Place------------------- Date ------------------- Note 1. Accountant means .....

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