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Old LIC Premium

This receipt confirms that Mr. Vikrant Tandel paid a monthly premium of 45,654.89 INR for his Max Life Online Term Plan Plus policy covering the period from December 15, 2022 to November 11, 2023. The policy provides a total sum assured of 1,00,00,000 INR for Mr. Tandel under the base plan and any riders. Details of the payment including policy number, dates, agent information, and taxes paid are included.

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137 views2 pages

Old LIC Premium

This receipt confirms that Mr. Vikrant Tandel paid a monthly premium of 45,654.89 INR for his Max Life Online Term Plan Plus policy covering the period from December 15, 2022 to November 11, 2023. The policy provides a total sum assured of 1,00,00,000 INR for Mr. Tandel under the base plan and any riders. Details of the payment including policy number, dates, agent information, and taxes paid are included.

Uploaded by

VikrantTandel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Date: 10-Dec-2023

Receipt No.: 139684310 DEC201701

Life Insurance Premium Receipt


Duration For Which the Premium is Received: 15-DEC-2022 to 11-NOV-2023
Personal Details
Policy Number: 139684310 Current residential state: Maharashtra
Policyholder Name: Mr. Vikrant Tandel Mobile No. 9740432072
Communication Address: SAMRUDHI NIWAS, Landline no. Please inform us for regular updates
RANPADA, NAVAPUR Life Insured Name: MR. VIKRANT TANDEL
VIRAR WEST, PALGHAR, PAN Number: AIMPT6085A
MAHARASHTRA - 401301

Email ID: VTANDEL1987@GMAL.COM

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 Monthly
Date of Commencement 11-NOV-2022 Date of Maturity 12-DEC-2063
Last Premium Due Date 15-JAN-2023 Next Due Date 12-JAN-2024
Reinstatement Interest (incl. GST) ` 0.00 Model Premium (incl. GST) 45,654.89
Total Premium Received (incl. GST)* 45,654.89 Total Sum Assured of base plan and term 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)


Base 997132 2,589.83
Rider 997132 1,456.10
...28
Reinstatement Interest 435.00
Total 4 480.93
` 27AACCM3201E1Z3
GST Regd. State Maharashtra

Affix Re1
revenue
stamp

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.

Authorised signatory

PRM20

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