Return of Taxable Securities Transactions for Insurance Company

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..... y y y 3. Permanent Account Number (PAN) 4. Financial Year for which transaction is being reported 5. Jurisdictional Assessing Officer 6. Number of equity oriented funds 7. Value of taxable securities transactions .....

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..... 12. Interest payable under section 104 13. Interest paid .....

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..... etails of taxable securities transaction tax for the FY mentioned in column 4 S.No Month Name of equity oriented fund Unique Client Code of the fund Value of taxable securities transaction (in Rs.) Securities transaction tax Collectible (in Rs.) Securities transaction tax collected (in Rs.) Securities transaction .....

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..... (full name in block letters), son/ daughter of ............ solemnly declare that to the best of my knowledge and belief the information given in this return is correct and complete and that the total value of taxable securities transactions and other particulars shown therein are truly stated and are in accordance with provisions of Chapter VII of the Finance (No.2) Act, 2004 and the Securities Transaction Tax Rules, 2004. I further declare that I am making this return in my capacity as ......... and I am also competent to make this return and verify it. Date: ......... Place ......... (Name and Signature) NOTES:- 1. This Form must be used by a Insurance Company Only 2. Details required in Row 14 may be given separat .....

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