Form 15G PDF Details

Did you know that there is a form specifically designed to help tax-exempt organizations reduce their federal income tax withholding obligation? Form 15G is a Declaration of Exemption from Withholding for Tax-Exempt Organizations and it allows qualifying entities to claim exemption from federal income tax withholding on payments for services.

This knowledge can help you grasp better the details of the form 15g before starting filling it out.

QuestionAnswer
Form NameForm 15G
Form Length2 pages
Fillable?Yes
Fillable fields103
Avg. time to fill out21 min 10 sec
Other namesform 15g in word format, fillable form 15g, form 15g for pf withdrawal, pf form 15g download

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Period for which sums were
given on interest

"FORM NO. 15G

[See section 197A(1), 197A(1A) and rule 29C]

Declaration under section 197A(1) and section 197A(1A) of the Incometax Act, 1961 to be made by an individual or a person (not being a company or firm) claiming

certain receipts without deduction of tax.

PART I

1. Name of Assessee (Declarant)

 

 

 

2. PAN of the Assessee

 

 

 

 

 

 

 

3. Assessment Year

 

 

 

 

 

 

 

( for which declaration is being made)

 

 

 

 

 

 

 

 

4. Flat/Door/Block No.

5. Name of Premises

 

6. #Status

 

 

 

 

 

 

 

7. Assessed in which Ward/Circle

 

8. Road/Street/Lane

9. Area/Locality

 

10. AO Code(under whom assessed last

 

 

 

 

 

 

time)

 

 

 

 

 

 

 

Area Code

AO Type

Range Code

 

AO No.

 

11. Town/City/District

12. State

 

 

 

 

 

 

 

 

 

13. PIN

 

14. Last Assessment Year in which

 

 

 

 

 

assessed

 

 

 

15. Email

16. Telephone No. (with STD Code) and Mobile No.

 

17. Present Ward/Circle

 

 

 

 

 

 

 

18. Residential Status ( within the

 

19. Name of Business/Occupation

 

 

 

meaning of Section 6 of the Income Tax

 

 

 

 

 

Act,1961)

 

 

 

 

 

 

 

20. Present AO Code (if not same as

 

 

 

 

 

above)

 

 

 

21. Jurisdictional Chief Commissioner of Incometax or Commissioner of Incometax (if not assessed to

 

Area Code

AO Type

Range Code

 

AO No.

 

Incometax earlier)

 

 

 

 

 

 

 

 

 

22. Estimated total income from the sources mentioned below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Please tick the relevant box)

 

 

Dividend from shares referred to in Schedule I

 

 

 

Interest on securities referred to in Schedule II

 

 

 

 

Interest on sums referred to in Schedule III

 

 

 

Income form units referred to in Schedule IV

 

The amount of withdrawal referred to in section 80CCA(2)(a) from National Savings Scheme referred to in ScheduleV

 

23. Estimated total income of the previous year in which income mentioned in Column 22 is to be included

 

 

 

24.Details of investments in respect of which the declaration is being made:

SCHEDULEI

(Details of shares, which stand in the name of the declarant and beneficially owned by him)

No. of

Class of shares &

Total value

 

 

 

 

 

shares

face value of each

Distinctive numbers of the shares

Date(s) on which the shares were acquired by the

of shares

 

 

share

 

 

 

 

declarant(dd/mm/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULEII

 

 

 

 

 

 

(Details of the securities held in the name of declarant and beneficially owned by him)

Description of

 

 

 

 

 

Date(s) of

Date(s) on which the securities were

 

Number of securities

Amount of securities

 

securities

securities

 

 

acquired by the declarant(dd/mm/yyyy)

 

 

 

 

 

(dd/mm/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULEIII

 

(Details of the sums given by the declarant on interest)

Name and address of the

Amount of

Date on which the sums were given on

 

person to whom the sums are

sums given

 

interest(dd/mm/yyyy)

 

given on interest

on interest

 

 

 

 

 

 

 

Rate of interest

SCHEDULEIV

(Details of the mutual fund units held in the name of declarant and beneficially owned by him)

Name and address of the

Number of

Class of units and face value of each

Distinctive number of units

Income in respect of

mutual fund

units

unit

units

 

 

 

 

 

 

 

 

 

 

 

 

 

SCHEDULEV

 

 

 

(Details of the withdrawal made from National Savings Scheme)

 

Particulars of the Post Office where the account under the National Savings Scheme

Date on which the account

The amount of

withdrawal from the

is maintained and the account number

was opened(dd/mm/yyyy)

account

 

 

 

 

 

 

 

 

 

 

 

 

 

 

……………………………………….

**Signature of the Declarant

DECLARATION/VERIFICATION

*I/We………………………………do hereby declare that to the best of *my/our knowledge and belief 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 u/s 60 to 64 of the Incometax Act, 1961. *I/We further, declare that the tax *on my/our estimated total income, including *income/incomes referred to in Column 22 above, computed in accordance with the provisions of the Incometax 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 22 for the previous year ending on .................... relevant to the assessment year .................. will not exceed the maximum

amount which is not chargeable to incometax.

Place:

………………………………………………..

 

 

…………………………………………………………….

Date:

………………………………………………..

 

 

Signature of the Declarant

 

 

PART II

 

 

 

 

 

 

[For use by the person to whom the declaration is furnished]

1. Name of the person responsible for paying the income referred to in Column 22 of Part I

2.

PAN of the person indicated in Column 1 of Part II

 

 

 

 

 

 

3. Complete Address

 

 

 

 

 

 

 

 

4.

TAN of the person indicated in Column 1 of Part II

 

 

 

 

 

 

 

5. Email

 

6. Telephone No. (with STD Code) and Mobile No.

 

 

 

 

 

 

 

7.

Status

 

8. Date on which Declaration is Furnished

9. Period in respect of which the dividend has been

10. Amount of income paid

11. Date on which the income

(dd/mm/yyyy)

declared or the income has been paid/credited

 

 

has been paid/

 

 

 

 

 

 

 

 

 

credited(dd/mm/yyyy)

 

 

 

 

 

 

 

12. Date of declaration, distribution or payment of dividend/withdrawal under the

13. Account Number of National Saving Scheme from which withdrawal has

National Savings Scheme(dd/mm/yyyy)

been made

 

Forwarded to the Chief Commissioner or Commissioner of Incometax…………………………………………………………

Place:

………………………………………………..

…………………………………………………

Date:

……………………………………………….

 

Signature of the person responsible for paying the income referred to in Column 22 of Part I

NOTES:

1.The declaration should be furnished in duplicate.

2.*Delete whichever is not applicable.

3.#Declaration can be furnished by an individual under section 197A(1) and a person (other than a company or a firm) under section 197A(1A).

4.**Indicate the capacity in which the declaration is furnished on behalf of a HUF, AOP, etc.

5.Before signing the declaration/verification , the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects. Any person making a false statement in the declaration shall be liable to prosecution under 277 of the Incometax Act, 1961 and on conviction be punishable

i)In a case where tax sought to be evaded exceeds twentyfive lakh rupees, with rigorous imprisonment which shall not be less than 6 months but which may extend to seven years and with fine;

ii)In any other case, with rigorous imprisonment which shall not be less than 3 months but which may extend to two years and with fine.

6.The person responsible for paying the income referred to in column 22 of Part I shall not accept the declaration where the amount of income of the nature referred to in subsection (1) or subsection (1A) of section 197A or the aggregate of the amounts of such income credited or paid or likely to be credited or paid during the

previous year in which such income is to be included exceeds the maximum amount which is not chargeable to tax.";

How to Edit Form 15G Online for Free

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filling in form 15g word format part 1

Provide the requested data in the Class of shares & face value of, share, Total value of shares, Distinctive numbers of the shares, Date(s) on which the shares were, declarant(dd/mm/yyyy), (Details of the securities held in, SCHEDULE‐II, Description of, securities, Number of securities, Amount of securities, Date(s) of securities, (dd/mm/yyyy), Date(s) on which the securities, (Details of the sums given by the, SCHEDULE‐III, Name and address of the, person to whom the sums are, given on interest, Amount of sums given on interest, Date on which the sums were given, Period for which sums were, interest(dd/mm/yyyy), given on interest, Rate of interest, (Details of the mutual fund units, Name and address of the, Number of, Class of units and face value of, mutual fund, units, unit, Distinctive number of units, Income in respect of, units, and SCHEDULE‐IV section.

form 15g word format Class of shares & face value of, share, Total value of shares, Distinctive numbers of the shares, Date(s) on which the shares were, declarant(dd/mm/yyyy), (Details of the securities held in, SCHEDULE‐II, Description of, securities, Number of securities, Amount of securities, Date(s) of securities, (dd/mm/yyyy), Date(s) on which the securities, (Details of the sums given by the, SCHEDULE‐III, Name and address of the, person to whom the sums are, given on interest, Amount of sums given on interest, Date on which the sums were given, Period for which sums were, interest(dd/mm/yyyy), given on interest, Rate of interest, (Details of the mutual fund units, Name and address of the, Number of, Class of units and face value of, mutual fund, units, unit, Distinctive number of units, Income in respect of, units, and SCHEDULE‐IV fields to complete

Outline the necessary particulars in the is maintained and the account, Date on which the account was, and account segment.

step 3 to entering details in form 15g word format

The space *I/We………………………………do hereby declare, Place: Date:, Signature of the Declarant, [For use by the person to whom the, and PART II will be where you include both sides' rights and obligations.

Filling out form 15g word format stage 4

Finish by analyzing the next sections and filling them out as needed: Forwarded to the Chief, Place: Date:, Signature of the person, Notes:, The declaration should be, In a case where tax sought to be, ii), In any other case, and The person responsible for paying.

stage 5 to filling out form 15g word format

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