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Notice to the Assessing Officer/prescribed authority under section 11(2) of the Income-tax Act, 1961

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..... iation having Permanent Account Number hereby bring to your notice that it has been decided by a resolution passed by the trustees/governing body/management, by whatever name called, on .(dd/mm/yyyy) that, out of the income of the fund /institution / trust / any university / other educational institution /any hospital / other medical institution /association for the previous year, relevant to the assessment year 20xx .-20xxx ., an amount of Rs .. which is .. per cent of the income of the fund /institution / trust / any university / other educational institution /any hospital / other medical institution/association for the said previous year, shall be accumulated or set apart for carrying out the purposes of the fund /inst .....

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..... st / any university / other educational institution /any hospital / other medical institution/association] had in respect of an assessment year preceding the relevant assessment year given the statement regarding accumulation or setting apart of an amount as required under clause (a) of the Explanation 3 to the third proviso to clause (23C) of section 10/ clause (a) of sub-section (2) of section 11 of the Income-tax Act, 1961 [strike off whichever is inapplicable] as detailed below: Year of Accumulation Date of filing Form 10 Amount Accumulated Period for which accumulated/set apart Amount applied .....

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..... Clause (a) of Explanation 3 to the third proviso to clause (23C) of section 10 1 Clause (a) of sub-section (2) of section 11 2 Clause (a) of sub-section (2) of section 11 read with clause (21) of section 10 3. ] _______________ Notes: 1. Old Form before substitution vide notification no. 3/2016 dated 14-1-2016 FORM NO.10 [See rule 17] Notice To The Assessing Officer / Prescribed Authority Under Section 11(2) Of The Income-Tax Act, 1961 To The Assessing Officer / Prescribed Authority, ------------------------------------------------------------ ----------------- .....

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..... e end of each relevant previous year. 4. It is requested that in view of our complying with the conditions laid down in section 11(2) of the Income-Tax Act, 1961, the benefit of that section may be given in the assessments of the trust / exempting the income in respect of the trust/ institution/ association in respect of the incomes accumulated or set apart as mentioned above Date -------------------------- --------------------------------- Signature ------------------ Designation ------------------- ------------------- Address Notes :- 1. This notice should be signed by a trustee / principal officer. 2. Delete the inappropriate words. 2. Substituted vide NOT .....

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..... 1 2 3 2. The amount so accumulated or set apart has been invested or deposited in any one or more of the forms or modes specified in sub-section(5) of section 11 of the Income-tax Act, 1961. 3. It is further brought to your notice that the said ------------------------- [name of the trust/institution/association] had in respect of an assessment year preceding the relevant assessment year given the statement regarding accumulation or setting apart of an amount as required under sub-section (2) of section 11 .....

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