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Application for exercise/ withdrawal of option under clause (i) of sub-section (5) of section 115BAC of the Income-tax Act, 1961

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..... .. ......... Sir/ Madam, I, ..................................................[name of individual]/ Karta of Hindu undivided family (HUF)................[name of HUF]* / ......................... , on behalf of........................... [name and address of the individual/ HUF*, having Permanent Account Number (PAN) .. do hereby exercise/withdraw* the option .....

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..... UF has any Unit in International Financial Services Centre (IFSC), as referred to in sub-section (1A) of section 80LA: Yes/No (ii) If answer to (i) is Yes, provide following details: (Add number of columns depending on number of Units): Unit 1 Unit 2 Unit 3 (1) (2) (3) .....

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..... ed in Form 10-IE : d/mm/yyyy 5. I understand that the option under clause (i) of sub-section (5) of section 115BAC, once exercised in a previous year, cannot be withdrawn for the same previous year and can subsequently be withdrawn only once for any other previous rendering me/ Individual/ HUF* ineligible for exercising option under section 115BAC in terms of prov .....

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