Quarterly statement of tax deposited in relation to transfer of virtual digital asset under section 194S to be furnished by an exchange for the quarter ending……….June/September/ December/ March

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..... p;…….June/September/ December/ March [section 194S, rule 31A(1) and (4E)] 1. Name of the Exchange : 2. Address of the Exchange : 3. PAN : 4. Financial year : 5. Details of transactions : (A) Details of tax paid with respect of transactions referred to in proviso to sub-rule (1) of rule 31A: S. No. Name of buyer/ broker Address of buyer/ broker PAN of buyer/ .....

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..... ip;……………… of…………………..do hereby certify that the information furnished above is correct and complete. Place: ............................... Date: .............................. Signature of the person Name and designation.] ************** NOTES:- 1. Inserted vide NOTIFICATION NO. 73/2022 dated 30-06 .....

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