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Application for rollback of an Advance Pricing Agreement

Income Tax - 03CEDA - [Form No. 3 CEDA] 1 (See sub-rule (5) of rule 10 MA) To, The Competent Authority of India or Director General of Income Tax (International Taxation) New Delhi Sir/Madam, This is to state that.............................. (Name .....

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Permanent Account Number: (c) Address of the applicant: (d) Address for communication: (e) Location(s) of the business enterprises in India: (f) Email id and the contact numbers of the person with whom correspondence is required to be made: (g) Name .....

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application for pre-filing meeting: (b) Date of pre-filing meeting(s) with the APA Team: 3. Whether application in Form 3CED is being filed simultaneously: 4. Details of international transaction(s) including Name(s) of the Associated Enterprises in .....

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Rs. Challan No: Dated: 7. The details of previous years for which rollback is being sought: 8. Has the same international transaction been undertaken in any other year for which rollback is permissible but the same is not being requested for. If yes .....

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en furnished on or before the due date: Yes/No 11. If yes, provide details including acknowledgement No., date of furnishing etc. 12. Whether audit report under section 92 E in respect of the international transaction referred to in 4 above for all t .....

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ect of international transaction(s) mentioned in 4 above : 15. Whether Appellate Tribunal has disposed of any appeal in respect of international transaction mentioned in 4 above for any of the years mentioned in 7 above? if yes, then details may be p .....

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