FORM.
27 C
(See Rule 37C)
DECLARATION UNDER SUB SECTION (1A) OF SECTION 206C OF THE INCOME TAX ACT 1961, TO
BE MADE BY A BUYER FOR OBTAINING GOODS WITHOUT COLLECTION OF TAX
1. Name of Buyer (Applicant) 2. PAN of Buyer (Applicant)
ANMOL INDUSTRIES BFSPP0245L
Flat/Door/Block No. 1. Name of Premises 5. Status (Choosing 1 to 6) 5
1, RAM NAGAR, GIASPURA,
8.Assessed in Ward/Circle
6. Road/Street/Lane 7. Area/Locality 9. AO Code (under whom assessed last time)
1, RAM NAGAR, GIASPURA, Area Code AO Type Range Code AO No.
10. Town/City/District 11. State Punjab NWR W 113 93
LUDHIANA
12. PIN 141003 13. Last Assessment year in which assessed
14. E-mail 15. Tel No. (with STD Code) 16. Present Ward/Circle
& Mobile
17. Present AO Code(if not same as above)
18. Jurisdictional Chief Commissioner of Income tax or Commissioner of Area Code AO Type Range Code
Income Tax (if not assessed to Income tax earlier) AO No.
NWR W 113 93
19. Nature of Business/Occupation Manufacturing 21. Nature of goods [refered to in the table in sub]section(1)
of section 206C]
20. Purpose of utilization of goods (tick the relevant box)
Manufacturing, processing, production of articles or things IRON SCRAPE
Generation of power
Declaration/Verification
**Signature of the Declarant
*I/We................................................do hereby declare that to the best of *my /our knowledge and belief what is stated above is correct,
complete and is truly stated. *I /we declare that the goods referred to in Column No. 21 shall not be used for trading purposes. *I/We
also, declare that *I/we *am/are resident in India within the meaning of section 6 of the Income]tax Act, 1961.
Place:
Date 02/08/2023 Part -II **Signature of the Declarant
(For use by the person to whom the declaration is furnished)
1. Name of the Seller 2. PAN of the Seller
SHREE RADHA STEEL INDUSTRIES CNTPB6101R
3. Complete address BXXIX/536/21-D/3C, IND. AREA-C, 4. TAN of the Seller
DHANDARI KALAN, NEAR EASTMAN JLDA06686B
5. Email : shreeradhasteels@gmail.com 6. Tel No. (with STD Code) & 8437038000
7. ***Status (choose among 1 to 6) 5 8. Date of furnished declaration (dd/mm/yyyy) 02/08/2023
9. Date of debiting of the amount payable by the buyer to the account of the buyer or receipt of the amount payable from the buyer in
cash or by issue of a cheque or draft or by any other mode (dd/mm/yyyy)
Bill No. : SRSI-2324-00315 Date : 02/08/2023 Amount : 136789.00
Forwarded to the Chief Commissioner or Commissioner of
Place:
Signatuer of the person responsible for collecting tax at the time
Date 02/08/2023 of the sale of the goods referred to in column no. 21 of Part I.
NOTES :
1. The declaration should be furnished in duplicate.
2. *Delete whichever is not applicable.
3. **Indicate the capacity in which the declaration is furnished on behalf of a HUF, AOP, firm, company, etc.
4. ***1=Company; 2=Firm; 3=AOP/BOI; 4=HUF; 5=Individual; 6=Others
5. Before signing the verification , the declarant should satisfy himself that the information furnished in the declaration is true, correct and complete in all
respects. Any person making a false statement in the declaration shall be liable to prosecution under 277 of the Income]tax Act, 1961 and on conviction
be punishable
(i) In a case where tax sought to be evaded exceeds twenty]five lakh rupees, with rigorous imprisonment which shall not be less than 6 months but
which may extend to seven years and with fine;
(ii) In any other case, with rigorous imprisonment which shall not be less than 3 months but which may extend to two years and with fine.
