FORM NO 15G
[See section 1974(1),197A(1A) and rule29C]
Di
Declaration under section 197A(1) and section 197A(1A) to be made by an individual or a persion (not being
Pany or firm) claiming certain incomes without deduction of tax.
PART I
F Cust.ID: 5708193
_ Name of Assessee (Declarant) B:PAN of the Agsessee |
MRYUVARAIL ——foorvasson eens)
revious Year Fee ee |
P For which declartion is being made] _[®-Residential Status ca
NoNTDUAL———————"poza-noeg Iron eee
{6 Flat/Door/Block No. [Name of Premises _[6-RoadiStreetiLane
SIO LOGANATHAN 25 S M IIVAPPAN NAGAR WEST
DASS AVENUE JKANCHIPURAM.
}0.Town/City/District fi.State [12.Pin Code.
IKANCHIPURAM_ FAMILNADU, 631507 —_ uvarajioganathan28@gmail.com
[15.(a) Whether assessed to tax under the
lincome -tax Act. 1961: ClYeS (INO
\b) if yes, latest assessment year for which assessed
4.Telephone No (With STD
|Code) and Mobile No.
j9500792500 3 7 —
Aan ~ 7 Estimated total income of the P.Y. in which income
___|16. Estimated income for which this dectartion fs made [renioned in column 16 0 be ncuded
2348.00
'8,Details of Form No. 15G other than this
ed during the previous yoat any?
“aggregate Amount of Income for which Forms Wo
__iiled
INature of Income Amount of Income
Interest faa fraza.oo 4
froszooososoot77____nterest__ 84 6736.00
froszotesorores4 _interest__ : 993.00 :
[0520165010256 I mini 94 193.00 |
Signature of the Declarant
Declaration/Verification