Form No. 60
Form No. 60
Form No. 60
Surname
Middle Name
Surname
8 Road/Street/Lane 9 Area/Locality
24 Details of document being produced in Document Document identification Name and address of the
support of address in Col 1 (Refer Code Number authority issuing the document
instruction overleaf)
Verification
I, _______________________________________________ do hereby declare that what is stated above is true to the best of my knowledge and
belief. I further declare that I do not have a Permanent Account Number and my/ our estimated total income (including income of spouse, minor child
etc. as per section 64 of Income-tax Act, 1961) computed in accordance with the provisions of Income-tax Act, 1961 for the financial year
in which the above transaction is held will be less than maximum amount not chargeable to tax.
Verified today, the ______________ day of ______________ 20_____
Place: ____________ (Signature of declarant)
Note:
1. Before signing the declaration, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects.
Any person making a false statement in the declaration shall be liable to prosecution under section 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 six 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 three months but which may extend to two years and with fine.
2. The person accepting the declaration shall not accept the declaration where the amount of income of the nature referred to in term 22B exceeds the
maximum amount which is not chargeable to tax, unless PAN is applied for and column 21 is duly filled.