FORM NO.15G – (AGE LESS THAN 60 YEARS)
| Declaration under section 197A(1) and section 197A (1A) to be made by an individual or person (not being a company or firm) claiming certain incomes without deduction of tax. | |||||||||||
| 1. Name of Assessee (Declarant): * | 2. PAN of the Assessee: * | ||||||||||
| 3. Status: | 4. Previous Year (P.Y.): (for which declaration is being made) | 5. Residential Status: | |||||||||
| 6. Flat/Door/Block No: | 7. Name of premises: | 8. Road/Street/Lane: | 9. Area/Locality: | ||||||||
| 10. Town/City/District: | 11. State: | 12. PIN: | 13. Email: * | ||||||||
| 14. Telephone No. (with STD Code) | 15 (a) Whether assessed to tax under the Income-tax act 1961: | ||||||||||
| Mobile No. * | 15 (b) If yes, latest assessment year for which assessed: | ||||||||||
| 16. Estimated income for which this declaration Ismade. | 17. Estimated total income of the. P.Y. in which Income mentioned in column 16 to be included. | ||||||||||
| 18. Details of Form No. 15G other than this form filed during the previous year, if any : | |||||||||||
| Total No. of Form 15G filed | Aggregate amount of income for which Form No. 15G filed | ||||||||||
| 19. Details of the income for which this declaration is filed. | |||||||||||
| Sl.No | Identification number for relevant Investment/account, etc. | Nature of income | Section under which tax is deductible. | Amount of income | |||||||
| 1 | |||||||||||
Declaration / Verification
*I/We do here by declare that to the best of *my/our knowledge and believe what is stated above is correct, complete and is truly stated. *I/We declare that the incomes referred to in this form are not includible in the total income of any other person under sections 60 to 64 of the Income-tax act, 1961. *I/We further declare that the tax *on aggregate amount of *income/incomes referred to in column 18 computed in accordance with the provisions of Income-tax, Act 1961. For the previous year ending on relevant to the assessment year , will be nil. *I/We also declare that *my/our *income/incomes referred to in column 16 *and the aggregate amount of *income/incomes referred to in column 18 for the previous year ending on relevant to the assessment year will not exceed the maximum amount which is not chargeable to income tax.
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