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≪ Letter head≫

To,

ASENCE PHARMA PVT LTD,


VADODARA.

In relation to Section.206AB of Income tax act 1961, please see below details of our
organisation

Permanent Account Number


(PAN):
Name as Per PAN:
Information required under FY 2018-19 FY 2019-20
Sec.206AB
Whether TDS, TCS Claimed in
Income tax return of Rs. 50,000 or
more in each of the Financial year
(Yes/No/NA)
Whether Income Tax return has
been filed as per sec.139(1)
(Yes/No/NA)
If filed then provide
Acknowledgement No. & Date of
Filing

Indemnity

I, hereby declare that afore mentioned information is True and Correct and in case, same
is found to be false, we would be liable for payment of resultant tax, Interest, penalty,
and associated cost to your organisation in relation to non-compliance of section 206AB
of the IT Act.

Name of Organisation ________________________________________


Signature
Name of Person ________________________________________
Designation/Authorised Person _________________________________________

General

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