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TMI BlogTax compliance for undisclosed foreign assetX X X X Extracts X X X X X X X X Extracts X X X X ..... clarant . 2. Address: Office .. E-mail Telephone No .. Residence E-mail Telephone No .. .... 3. Permanent Account Number (PAN) . . (In case PAN is not held, please apply for PAN and quote here) 4. Original/Revised declaration . . (If Revised provide date of filing original declaration) 5. Status of the declarant (a) State whether individual, HUF, firm, company etc. . . (b) State whether Resident/Non-Resident/Not ordinarily resident . . 6. Whether any Income-tax return has been filed? Yes/No. If Yes provide the following details (a) Asst. Year for which last return filed . . (b) Assessing Officer before whom filed, if above return filed in paper form . . 7. Statement of undisclosed asset located outside India (as per annexure) 8. Total amoun ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ntion of Corruption Act, 1988 are not applicable to me; (e) the undersigned has not been notified under section 3 of the Special Court (Trial of Offences Relating to Transactions in Securities) Act, 1992; (f) the asset declared has not been acquired from income chargeable to tax under the Income-tax Act for any previous year relevant to assessment year,- (i) where a notice under section 142 or sub-section (2) of section 143 or section 148 or section 153A or section 153C of the Income-tax Act has been received in respect of such assessment year and the proceeding is pending before the Assessing Officer; (ii) where a search has been conducted under section 132 or requisition has been made under section 132A or a survey has been carried out un ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... _________ (f) Total acquisition cost ________________ (g) Value as estimated by the valuer on valuation date ________________ (h) Fair Market value as per Rule 3 ________________ (Provide separate computation if different from (f) or (g)) 3. Jewellery (attach valuation report) (a) Gold (I) Purity ________, Weight _________, Value ____________ (II) Purity ________, Weight _________, Value ____________ (b) Diamond (1 carat or more) (I) Carat ________, Cut _______, Colour ______, Clarity_______, Value ________ (II) Carat ________, Cut _______, Colour ______, Clarity_______, Value ________ (c) Diamond (less than 1 carat) and other precious stones Value __________ (d) Other precious metals Value__________ 4. Artistic work (attach valuation repor ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ____ (v) Date(s) of acquisition __________________ (vi) Value as determined under Rule 3(1)(c)(II) __________________ (vii) Date of valuation __________________ (viii) Fair Market value as per Rule 3 __________________ (Provide separate computation if different from (iv) or (vi)) (c) Unquoted shares and securities other than equity shares in a company [Rule 3(1)(c)(III)] (attach valuation report) (i) Description of share/security (A) Name of issuer __________________ (B) Number of securities/shares __________________ (C) Type of security/share __________________ (ii) Country of location __________________ (iii) Name(s) under which held __________________ (iv) Cost of acquisition __________________ (v) Date(s) of acquisition ________________ ..... X X X X Extracts X X X X X X X X Extracts X X X X
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