Statement of income distributed by a business trust to be furnished under section 115UA of the Income-tax Act, 1961

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..... astructure Investment Trusts) Regulations, 2014 7 . Whether the units of the business trust are listed on any recognised stock exchange at any time during previous year Yes/No 2 [8. Aggregate income of the Business trust from all sources (9+11+13+15) 9. Income by way of interest referred to in section 10 (23FC) 10. Proportion of 9 to 8 11. Income by way of renting or leasing or letting referred to in section 10(23FCA) 12. Proportion of 11 to 8 13. Income by way of Dividend referred to in section 115-O 14. Proportion of 13 to 8 15. Income other than that referred to in 9, 11 and 13 16. Proportion of 15 to 8 17. Details of persons being unit holders, referred to in sub-section (1) of section 115UA .....

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..... ----------------------------------------- (Name in full and in block letters) son/daughter/wife of -------------------------------------------------------------- do hereby solemnly declare that to the best of my knowledge and belief what is stated above and in the Annexure(s), including the documents accompanying such Annexure(s), is correct and complete. I further declare that I am furnishing such statement in my capacity as-------------------------- (designation) and that I am competent to furnish this statement and verify it. Verified today the __________________ day of __________________. Place Signature____ _______________ Verification I/We*_____________________________________________________________________ h .....

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..... buted Amount of income in the nature of interest referred to in section 10(23FC) [Column 5 Sl. No.10] Amount of income in the nature of Dividend referred to in section 115-O [Column 5 Sl . No.12] Amount of other income [Column 5 Sl. No.14] 1 2 3 4 5 6 7 8 3. Substituted vide Notification No. 95/2019 dated 06-11-2019 w.e.f. 01-09-2019 before it was read as PAN - Forms Tax Manage .....

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