Certificate under section 31 or 33 of the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015

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..... the Black Money (Undisclosed Foreign Income and Assets) and Imposition of Tax Act, 2015 Office of the TRO . Dated the ... To (PAN) 1. * This is to certify that a sum of Rs. ..has become due from you on .. in the status of ., details of which are given on the reverse. Whereas a certificate bearing Serial Number dated .. had been forwarded by the Tax Recovery Officer, ...., for the recovery of the s .....

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..... ges and expenses incurred in respect of the services of this notice and of warrants and other processes and all other proceedings taken for realising the arrears. SEAL .... Tax Recovery Officer *Score out whichever paragraph is not applicable. DETAILS OF AMOUNT IN ARREARS Amount (Rs.) Asst. year 1. Tax 2. Penalty u/s 3. Interest u/s 4. Any other sum (give details) 5. Total - - statute, statutory .....

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