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This document is a premium receipt for Mr. Mohammad Motiulla's insurance policy with receipt number 552339939MAY2001, dated 05-MAY-2020. The policy is for the Max Life Max Amsure Bonus Builder plan with a total premium of ` 5,491.83, covering a sum assured of ` 2,00,000.00 and a policy term of 75 years, maturing on 24-NOV-2081. Important notes regarding payment conditions, tax benefits, and GST details are included.

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Mahammad Motiulla
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10 views1 page

Premium 19 20

This document is a premium receipt for Mr. Mohammad Motiulla's insurance policy with receipt number 552339939MAY2001, dated 05-MAY-2020. The policy is for the Max Life Max Amsure Bonus Builder plan with a total premium of ` 5,491.83, covering a sum assured of ` 2,00,000.00 and a policy term of 75 years, maturing on 24-NOV-2081. Important notes regarding payment conditions, tax benefits, and GST details are included.

Uploaded by

Mahammad Motiulla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Premium Receipt

Receipt No.: 552339939MAY2001 | Receipt Date: 05-MAY-2020


Personal Details
Policy Number: 552339939 Email ID: meetmoti@gmail.com
Policyholder Name: Mr. Mohammad Motiulla PAN Number: Please update on our website
Address: Narendra Kona Market Square Customer GSTIN: Not Available
. Current Residential State: Orissa
Puri- 752001
Orissa
Mobile Number: 9861343132
Policy Details

Plan Name: Max Life Max Amsure Bonus Builder Policy Commencement Date: 24-NOV-2006
Life Insured: Mr. Mohammad Motiulla Policy Term: 75 Years Premium Payment Term: Regular
Premium Payment Frequency: Annual Date of Maturity: 24-NOV-2081 Modal Premium (incl. GST): ` 5,491.83
Late Payment Fee (incl GST): ` 0.00 Premium Received (incl. GST): ` 5,491.83
GST Details Connect for more details
Coverage Type IGST (`) CGST(`) SGST/UTGST(`) Name
Base ` 0.00 ` 54.90 ` 54.90
Customer Services Customer Advisory Team
Rider ` 0.00 ` 38.29 ` 38.29
Late Payment ` 0.00 ` 0.00 `0.00
Contact Number
18601205577
Total GST Value: ` 186.38 GSTIN:21AACCM3201E1ZF
GST Regd. State:Odisha
SAC CODE:997132

Mudrank: Paid by e-Stamps Certificate no. 742/Issue Date: 15/10/19/ Vide Treasury (E-CHALLAN) GRN NO.58140319

Total Sum Assured of base


plan and term rider (if any)

24-NOV-2019 to
` 2,00,000.00 ` 5,491.83 23-NOV-2020 24-NOV-2020
*Important Note:
1.For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk commencement starts
after acceptance of risk by us.
2.Amount received would be adjusted against the due premium as per terms and conditions of the policy.
3.Premiums may be eligible for tax benefits under section 80C/80CCC/80D/37(1) of the income Tax Act 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due
to changes in legislation or government notification.
4.GST shall comprise CGST, SGST / UTGST or IGST (whichever is applicable) including cesses and levies, if any. All applicable taxes, cesses and levies, as per prevailing laws, shall be borne by you. For GST
purposes, this premium receipt is Tax invoice. Assessable Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%, Single Premium Annuity is 10%, Term and Health is 100%.

Authorised Signatory
PRM21V5.7 26092019 PRODUCT UIN: 104N019V01
E.&O.E 2020-05-05.03.35.14.280981

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