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Form of declaration under section 199C of the finance act, 2016, in respect of the taxation and investment regime for Pradhan mantri garib kalyan yojana rules,2016

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..... ORM OF DECLARATION UNDER SECTION 199C OF THE FINANCE ACT, 2016, IN RESPECT OF THE TAXATION AND INVESTMENT REGIME FOR PRADHAN MANTRI GARIB KALYAN YOJANA RULES, 2016 To, The Principal Commissioner/Commissioner Madam/ Sir, I hereby make a declaration under section 199C of the Finance Act, 2016. I give below the necessary particulars: 1. Name of the declarant . ...... 2. Address: Office . .... Telepho .....

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..... unt held in cash (ii) Details of amount deposited in a bank account/post office account etc. .. Rs .. .. Sl. No. Account number Name of Bank/ Post office etc. Branch name IFSC code/ any other identity code Amount (in Rs.) Total 8. Tax payable thereon [@ 30% of item 7(a) Rs. .. . .. . 9. Surcharge payable thereon (@ 33% of item 8) Rs. .. . .. . 10. Penalty payable thereon [@10% of item 7(a)] Rs. .. .....

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..... husband) hereby solemnly declare that- (a) the information given in this declaration is correct and complete to the best of my knowledge and belief; (b) the provisions of clause (a) of section 199-O of the Finance Act, 2016 in respect of Conservation of Foreign Exchange and Prevention of Smuggling Activities Act, 1974 are not applicable to me; (c) the provision clause (b) of section 199-O of the F .....

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