Statement regarding preliminary expenses incurred to be furnished under proviso to clause (a) of sub-section (2) of section 35D of the Income-tax Act, 1961 by the assessee

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..... the assessee Name of the Assessee Name Status Residential status Permanent Account Number Aadhaar number (if applicable) Tax Deduction and Collection Account Number (if applicable) Address Relevant previous year for which the statement is being filed Expenditure in connection with:* Details of expenditure incurred Nature of activity (See Note 1) Whether carried .....

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..... ication I ………………., do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified today, the ______________ day of ______________. Place Date Signature of the Authorised Signatory Note: 1. In case there is more than one person carrying out the activity, separate details to be filled. 2. If carried out by the ass .....

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