(On letterhead of buyer party)

Dated: _____________
To
Triveni Turbine Limited
No.12A, Peenya Industrial Area
Peenya, Bengaluru-560058
Karnataka, India.

Subject: Declaration for compliance of Section 194Q of the Income Tax Act, 1961 in respect of TDS
on purchase of goods from Triveni Turbine Limited for the financial year 2021-22.

Dear Sir,

This is with reference to Section 194Q: Deduction of tax at source on payment of certain sum for
purchase of goods and Section 206C(1H): Collection of tax at source on consideration for sale of any
goods, we furnish our required particulars as under: -
(please tick as applicable)

Sl. No. Particulars YES NO

1. Our Turnover from business during the FY 2020-

21 exceeds Rs. 10 Crores.

2. Value of goods to be purchased from Triveni

Turbine Limited during FY 2021-22 is likely to
exceed Rs. 50 lakhs.

We further confirm and declare as under: -

1) That we shall be liable/ not liable to deduct tax at source on the goods purchased by us from
you in accordance with the provisions of Section 194Q of the Income Tax Act, 1961 in
financial year 2021-22.

2) If we are liable to deduct TDS u/s 194Q as per above table, we shall comply with the
provisions of Section 194Q and relevant Rules with regard to same. In such a case, we
request Triveni Turbine Limited, not to comply with TCS provisions on sale of goods u/s
206C(1H).

3) In case we are not liable to deduct TDS u/s 194Q as per table above, we authorize Triveni
Turbine Limited to deposit TCS u/s 206C(1H) on our behalf which we shall reimburse to
Triveni Turbine Limited.

Thanking you,

For (Buyer’s Name)

Authorised Signatory