9911796707
TMI BlogFORM OF DECLARATION UNDER SECTION 183 OF THE FINANCE ACT, 2016, IN RESPECT OF THE INCOME DECLARATION SCHEME, 2016X X X X Extracts X X X X X X X X Extracts X X X X ..... te of filing original Form-1 ...................... / / (DD/MM/YYYY) (ii) Reasons for revised declaration (not exceeding 100 words) ] 3. Permanent Account Number (PAN) .. (In case PAN is not held, please apply for PAN and quote here) 4. Status of the declarant (a) Whether individual, HUF, firm, company etc. . (b) Whether Resident/Non-Resident/Not ordinarily resident . 5. Details relating to assessment years for which the declaration is being made: Assessment year Whether return of income filed (Yes/No) If column (2) is Yes, furnish the income returned/ assessed Assessing Officer (ward/ circle) if return filed in paper form (1) (2) (3) (4) 6. Statement of undisclosed income as per Annexure 7. Total amount of declaration of undisclosed income ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... g Activities Act, 1974 are not applicable to me; (e) the provision clause (b) of section 196 of the Finance Act, 2016 in respect of Indian Penal Code, the Narcotic Drugs and Psychotropic Substances Act, 1985, the Unlawful Activities (Prevention) Act, 1967, the Prevention of Corruption Act, 1988 are not applicable to me; (f) the undersigned has not been notified under section 3 of the Special Court (Trial of Offences Relating to Transactions in Securities) Act, 1992; (g) the income declared is not chargeable to tax under the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015; (h) the income declared is not chargeable to tax under the Income-tax Act for any previous year relevant to assessment year,- (i) where ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ets in the same category) I. Total undisclosed income S.No. Assessment year to which the undisclosed income pertains Amount of undisclosed income (in Rs.) Nature of undisclosed income Total (to be taken to item 7 of the Form) II. Whether any part of income referred in (I) above is in form of investment in asset Yes No III. If reply to (II) above is Yes, furnish description of undisclosed income declared in the form of investment in assets (Use separate sheet in case of multiple assets in the same category) 3 [ 1. Immovable property (attach valuation report) (i) Nature of property (land/building/flat etc.) ________________ (ii) Address of the property ________________ (iii) Name(s) under which held ________________ (iv) Date of acquisition _ ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... issuer __________________ (B) Number of securities/shares __________________ (C) Type of security/share __________________ (ii) Recognised exchange where quoted __________________ (iii) Name(s) under which held __________________ (iv) Cost of acquisition __________________ (v) Date(s) of acquisition __________________ (vi) Value as determined under Rule 3(1)(c)(I)(ii) __________________ (vii) Fair Market value as per Rule 3 __________________ (b) Unquoted equity share [Rule 3(1)(c)(II)] (attach valuation report) (i) Description of share (A) Name of issuer __________________ (B) Number of shares __________________ (C) Type of share __________________ (ii) Name(s) under which held __________________ (iii) Cost of acquisition ________________ ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... u/s 142/143(2)/148/153A/153C of the Income-tax Act is issued ___________________ 9. Total undisclosed income declared in the form of investment in asset (6-7-8) ____________________ IV. (1) Whether the undisclosed income referred in (I) above had ever been credited in a bank account Yes No (2) If Yes, details of such bank accounts Name and address of Bank IFSC Code Account holder name(s) Account Number Balance in the Account as on 01.06.2016 (if any) 4 [ V. Whether any part of income referred in (I) is in the form of fictitious liability Yes No VI. If reply to (V) is Yes, whether such liability is directly linked to any asset disclosed in the balance sheet Yes No VII. If reply to (VI) is No, furnish the following: 1. Nature of liability __ ..... X X X X Extracts X X X X X X X X Extracts X X X X
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