Form No 60
Form No 60
Surname
If PAN not applied, fill estimated total income (including income of spouse, minor child etc. as per section 64 of Income-tax Act, 1961) for the
22 financial year in which the above transaction is held
23 Details of document being produced in support of Document code Document identification number Name and address of the authority
identify in Column 1 (Refer Instruction overleaf) issuing the document
24 Details of document being produced in support Document code Document identification number Name and address of the authority
of address in Columns 4 to 13 (Refer Instruction issuing the document
overleaf)
Verification
I, _______________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and belief.
I further declare that I do not have a Permanent Account Number and my/ our estimated total income (including income of spouse, minor child etc. as per
section 64 of Income-tax Act, 1961) computed in accordance with the provisions of Income-tax Act, 1961 for the financial year in which the above
transaction is held will be less than maximum amount not chargeable to tax.
Note:
1. Before signing the declaration, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects. Any
person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on
conviction be punishable,-
(i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but
(ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine.
2. The person accepting the declaration shall not accept the declaration where the amount of income of the nature referred to in item 22b exceeds the
maximum amount which is not chargeable to tax, unless PAN is applied for and column 21 is duly filled.
Instruction:
(1) Documents which can be produced in support of identity and address (not required if applied for PAN and item 20 is filled): - -
4. Ration/Public Distribution System card bearing photograph of the person 04 Yes Yes
8. National Rural Employment Guarantee Scheme (NREGS) Job card 08 Yes Yes
14. Central Government Health Scheme /Ex-servicemen Contributory Health Scheme card 14 Yes No
15. Photo identity card issued by the government./ Public Sector Undertaking 15 Yes No
16. Electricity bill (Not more than 3 months old) 16 No Yes
17. Landline Telephone bill (Not more than 3 months old) 17 No Yes
19. Consumer gas card/book or piped gas bill (Not more than 3 months old) 19 No Yes
20. Bank Account Statement (Not more than 3 months old) 20 No Yes
21. Credit Card statement (Not more than 3 months old) 21 No Yes
22. Depository Account Statement (Not more than 3 months old) 22 No Yes
26. Property tax payment receipt (Not more than one year old) 26 No Yes
C For Association of persons (other than Trusts) or Body of Individuals or Local authority
or Artificial Juridical Person)
(2) In case of a transaction in the name of a Minor, any of the above mentioned documents as proof of Identity and Address of any of
parents/guardians of such minor shall be deemed to be the proof of identity and address for the minor declarant, and the declaration should
be signed by the parent/guardian.
(3) For HUF any document in the name of Karta of HUF is required.
(4) In case the transaction is in the name of more than one person the total number of persons should be mentioned in Sl. No. 18 and the total
amount of transaction is to be filled in Sl. No. 16.
In case the estimated total income in column 22b exceeds the maximum amount not chargeable to tax the person should apply for PAN, fill
out item 21 and furnish proof of submission of application.