Information to be provided under sub-section (5) of section 90 or sub-section (5) of section 90A of the Income-tax Act, 1961

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..... ................................ in the capacity of ................................................................. (designation) do provide the following information, relevant to the previous year . *in my case/in the case of................................... for the purposes of sub-section (5) of *section 90/section 90A:- Sl.No. Nature of informat .....

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..... ified by the Government of the country or the specified territory of which the assessee claims to be a resident : (v) Period for which the residential status as mentioned in the certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A is applicable : .....

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..... .. day of .. Signature of the person providing the information Place: Notes : 1. *Delete whichever is not applicable. 2. #Write N.A. if the relevant information forms part of the certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A. ******* Note: 1. Inserted vide Notification n .....

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