Application by a banking company or insurer for a certificate under section 195(3) of the Income - tax Act, 1961, for receipt of interest and other sums without deduction of tax

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..... eduction of tax To The Assessing Officer, --------------------------- Sir, I, -----------------------------------------------------, being the principal officer of -------------------------------- [name of the banking company or insurer] hereby declare: (a) that --------------------------------------- is a banking company/insurer which is neither an Indian company nor a company .....

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..... other than interest on securities (other than interest payable on securities referred to in proviso to section 193) and other sums not being dividends, without deduction of tax under sub-section (1) of section 195 of the Income-tax Act, 1961, during the financial year --------------------------------. I hereby declare that what is stated in this application is correct. Signature Address --- .....

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..... company nor a company which has made the prescribed arrangement for the declaration and payment of dividends within India and which is operating in India through a branch(es) at (b) that the head office of the said company is situated at [name of the place and country] (c) that the said company is entitled to received interest (other than 1 [ interest on securit .....

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