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Life Insurance Premium Receipt: Personal Details

This receipt confirms that Mr. Ashish Goswami paid an annual premium of Rs. 42,816.60 towards his Max Life Online Term Plan Plus policy along with the Max Life Waiver Of Premium Plus rider, maintaining a total sum assured of Rs. 1,00,00,000 until March 11, 2022. The payment includes Rs. 205.11 in GST for the base plan and rider coverage.

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2K views1 page

Life Insurance Premium Receipt: Personal Details

This receipt confirms that Mr. Ashish Goswami paid an annual premium of Rs. 42,816.60 towards his Max Life Online Term Plan Plus policy along with the Max Life Waiver Of Premium Plus rider, maintaining a total sum assured of Rs. 1,00,00,000 until March 11, 2022. The payment includes Rs. 205.11 in GST for the base plan and rider coverage.

Uploaded by

RITIKA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Date: 12-Apr-2021

Receipt No.: 139684310 Apr2021

Life Insurance Premium Receipt


Duration For Which the Premium is Received: 12-APR-2021 to 11-MAR-2022
Personal Details
Policy Number: 569103265
Current residential state: Haryana
Policyholder Name: Mr. Ashish Goswami
Life Insured Name: MR. Ashish Goswami
Communication Address: FLAT NO. P5-02, FF,
Sector 75, Faridabad

Policy Details
Plan Name: Max Life Online Term Plan PlusMax Life Waiver Of Premium Plus Rider CO - 104N092V02
Policy Term 40 Years Premium Payment Frequency Yearly
Date of Commencement 12-APR-2021 Date of Maturity 12-DEC-2057
Last Premium Due Date 11-MAR-2022 Next Due Date 12-MAR-2022
Reinstatement Interest (incl. GST) Rs. 0.00 Model Premium (incl. GST) Rs. 42,816.60
Total Premium Received (incl. GST)* Rs. 42,816.60 Total Sum Assured of base plan and term Rs. 1,00,00,000.00
rider (if any)
Agent's Name Coverfox Insurance Brokin Agent's Contact No.
18002005522
Head Office
GST Details
Coverage Type SAC Code GST (INR) GSTIN 27AACCM3201E1Z3
Base 997132 Rs. 194.83 GST Regd. State Maharashtra
Rider 997132 Rs. 10.28
Reinstatement Interest Rs. 0.00
Total Rs. 205.11

Important Note:
*For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk
commencement starts after acceptance of risk by us. *Amount received would be adjusted against the due premium as per terms and conditions of the policy. *Premium paid would
be eligible for deduction as per the provision of Income Tax Act, 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due to changes in
legislation or government notification. *Applicable Taxes, Cesses and Levies, as per prevailing laws, shall be borne by you. *For GST purposes,this premium receipt is Tax
Invoice.Assessable Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%; Single Premium Annuity is 10%; Term and Health is 100%. In case of unit linked
product GST is applicable on charges.

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