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FORM NO. 60 See second proviso to rule 114B Form of declaration to be filed by a person who does not have a permanent account number and who enters into any transaction specified in rule 114B 1. Full name and address of the declarant 2. Particulars of transaction 3 Amount of the transaction 4. Are you assessed to tax Yes /No NO 5. If yes i Details of Ward/ Circle/ Range where the last return of income was filed ii Reasons for not having permanent account number 6. Details of the document being produced in support of address in column 1 Verification I do hereby declare that what is stated above is true to the best of my knowledge and belief* Verified today the day of Date Place Signature of the declarant Instructions Documents which can be produced in support of the address are a Ration Card b Passport c Driving licence d Identity Card issued by any institution e Copy of the electricity bill or telephone bill showing residential address f Any document or communication issued by any authority of the Central Government State Government or local bodies showing residential address g Any other documentary evidence in support of his address given in the declaration* PRACTICE NOTES This Form prescribes the format of a declaration to be filed by a person who does not have a Permanent Account Number and who entres into any transaction specified in rule 114B. The instructions appended to the form should also be carefully followed and acted upon* 1. Substituted by the IT Seventeenth Amendment Rules 2004 with effect from 1st December 2004. Form 60 has been printed from Mashbra s Income Tax Rules 2008 11th Edition* Printed from www. taxmann*com. Full name and address of the declarant 2. Particulars of transaction 3 Amount of the transaction 4. Are you assessed to tax Yes /No NO 5. If yes i Details of Ward/ Circle/ Range where the last return of income was filed ii Reasons for not having permanent account number 6. Are you assessed to tax Yes /No NO 5. If yes i Details of Ward/ Circle/ Range where the last return of income was filed ii Reasons for not having permanent account number 6. Details of the document being produced in support of address in column 1 Verification I do hereby declare that what is stated above is true to the best of my knowledge and belief* Verified today the day of Date Place Signature of the declarant Instructions Documents which can be produced in support of the address are a Ration Card b Passport c Driving licence d Identity Card issued by any institution e Copy of the electricity bill or telephone bill showing residential address f Any document or communication issued by any authority of the Central Government State Government or local bodies showing residential address g Any other documentary evidence in support of his address given in the declaration* PRACTICE NOTES This Form prescribes the format of a declaration to be filed by a person who does not have a Permanent Account Number and who entres into any transaction specified in rule 114B.

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