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Form NO 15 D

Form No. 15D is an application for a certificate under section 195(3) of the Income-tax Act, 1961, allowing non-resident assessees to receive income other than interest and dividends without tax deduction. The applicant must declare their status, business operations in India, and compliance with relevant rules. The form requires the applicant's signature and address to confirm the accuracy of the information provided.

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60 views1 page

Form NO 15 D

Form No. 15D is an application for a certificate under section 195(3) of the Income-tax Act, 1961, allowing non-resident assessees to receive income other than interest and dividends without tax deduction. The applicant must declare their status, business operations in India, and compliance with relevant rules. The form requires the applicant's signature and address to confirm the accuracy of the information provided.

Uploaded by

sangramsg_537098808
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
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FORM NO.

15D
[See rule 29B]
Application by a person other than a banking company for a certificate under section
195(3) of the Income-tax Act, 1961, for receipt of sums other than interest
and dividends without deduction of tax

To
The Assessing Officer,
…………………………..
…………………………..

Sir,
I, …………………………………, being the principal officer of....................................……..,
we....................................………………………………………………………………………...................
[name of the person, firm or company untitled to receive sums other than interest and dividends]
do hereby declare:

(a) that I/…………………………………………………………………………………….


[name of the firm, company, etc.]
am/is a non-resident assessee (not being a banking company) carrying on business/
profession in India through a branch(es) by name(s) ..............................…………………
having office(s) at......................................;
(b) that my head office/the head office of....................................…………………………..
[name of the firm, company, etc.]
is situated at ......................................................................................................................
[name of the place and country]
(c) that I/.................................................................................................................................
[name of the firm, company, etc.]
am/is entitled to receive income (other than dividends and interest) chargeable under the provisions
of the Income-tax Act, 1961, during the financial year …...... - ….......;

(d) that I/.................................................................................................................................


[name of the firm, company, etc.)
fulfil(s) all the conditions laid down in rule 29B of the Income-tax Rules, 1962.

I, therefore, request that a certificate may be issued authorising me/............................................................


.......................................................................................................................................................................
[name of the firm, company, etc.]
to receive income other than interest or dividends without deduction of tax under sub-section (1) of section
195 of the Income-tax Act, 1961, during the financial year ....... - ........

I hereby declare that what is stated in this application is correct.


Date ....................... ………………………..
Signature
………………………..
………………………..
Address

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