Annual Statement under section 285 of the Income-tax Act, 1961

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..... Name and Principal Address of the non- resident person in India 3 Head Office Address of the non-resident person 4 2 [ Permanent Account Number or Aadhaar Number ] (if Allotted) 5 Tax Identification No., if any, of count .....

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..... ty Certificate (AAC) as prescribed by RBI 13 India specific financial details for the financial year i.e., receipts, income and expenses of the non-resident person from or in India (not only of the L.O.) 14 Details of all purchases, sales of material, and services from/to Indian parties du .....

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..... ermanent Account Number or Aadhaar Number ] ) of agents/representative/distributors of the non-resident person in India. 19 Names addresses of the top five parties in India with whom the L.O. has been doing the liaisoning 20 Details of Products or services for which liaisoning activit .....

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..... l name in block letters] . son/daughter of .. holding Permanent Account Number .. .. solemnly declare that to the best of my knowledge and belief, the information given in the form is correct and complete and that the other particulars shown therein ore truly stated. I further declare that I am submitting this form in my capacity as . and I am .....

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