Renewal Premium Receipt: To State: From State

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Renewal Premium Receipt

Mr Kailash Chandra Mahananda Receipt Number


So Brundaban Mahananda
Qtr No B 273 14012653
Near Nac Market Rourkela 6 Date of Receipt
Sundergarh 13/06/2023
Orissa
Pincode :769006 Policy Status
Tel No. 7377755223 In Force
Payment Frequency
Annual

To State: From State:

Policy No. 01563802 Plan Name SUD Life Century Star - T31
Next Premium due date 10/06/2024 Balance in deposit 0.00

Date Product and Rider Name Premium Amount


SUD Life Century Star - T31 50,000.00
Accidental Death & TPD-Trd LTD 855.00
GST Rate Taxable Value Amount
Basic 9% 6250.00 562.50
CGST
Rider 9% 855.00 77.00
Basic 9% 6250.00 562.50
SGST
Rider 9% 855.00 77.00
Basic 18 % 6250.00 0.00
IGST
Rider 18 % 0.00
Total Premium 52,134.00

{Tax benefits on life insurance policy would be available 80C, on pension policy U/S 80CCC and on health rider (if any) U/S 80D as per
prevailing Income Tax Act,191. Goods and Services Tax is charged as applicable under GST Act, 2017}

Revenue Stamp Duty of Re 1 (Rupee One Only) Paid under Mudrank Number-CSD/415/2022/3174 dated 21.07.2022.

Description of service & HSN Code- Life insurance Service: 997132 .Whether charged under RCM- No. GST No: 21AALCS3949Q1ZO

Star Union Dai-ichi Life Insurance Co. Ltd.


This is a computer generated receipt and does not require a signature

Key Information

* Visit our website www.sudlife.in to know about your unclaimed policy amount, if any please call our Call Centre at 1800 266 8833 for details.
* Please ensure your Bank details ie. Bank Name,Branch, A/C No,IFSC Code is updated with us for policy related payments.

899731

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