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0% found this document useful (0 votes)
72 views2 pages

Declaration Format

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

To whomsoever it may concern

Self-Declaration of Residency for Indian Income Tax Purpose

I am a holder of units in India Grid Trust of which I am the beneficial owner.


I hereby confirm that I am a non-resident of India in terms of the Indian Income-tax
Act, 1961 for the financial/ tax year ______________ i.e. during the period 1 April
20___ to 31 March 20____ (assessment year ______________) as I would be
satisfying the following conditions cumulatively, in cases of persons covered under
A] or B] below, as may be applicable:
A] In case of an individual being a citizen of India or person of Indian origin:
1. My stay in India is/ is expected to be less than 60 days during the subject tax
year; or

2. My stay in India has been less than 365 days during the 4 tax years immediately
preceding the subject tax year; and

My stay in India during the subject tax year is/ is expected to be less than
a) 120 days during the subject tax year, if my total income (other than income
from foreign sources) exceeds Rs 15 lakhs for the subject year; or
b) 182 days during the subject tax year, if my total income (other than income
from foreign sources) does not exceed Rs 15 lakhs for the subject year

and

3. My income is taxable in my current country of tax residence, if my total income


(other than income from foreign sources) exceeds Rs 15 lakhs for the subject
year.

OR
B] In case of any other person:
1. My stay in India is/ is expected to be less than 60 days during the subject tax
year; or

2. My stay in India during the tax year is/ is expected to be more than 60 days but
less than 182 days; and

My stay in India has been less than 365 days during the 4 tax years immediately
preceding the subject tax year.

Accordingly, I should be considered as non-resident for India tax purpose.


In case there is any change in the above facts, I shall forthwith communicate the
same to IndiGrid Trust and in case I default in communicating the same, I undertake
to indemnify IndiGrid Trust for any loss cause on account of tax, interest and penalty
as may be levied by the Tax Authorities.
I also undertake to provide the following documents /evidence, regarding my
residential status in ____________ (mention the name of the country):-
(a) Tax Residency Certificate
(b) Declaration in Form 10F (enclosed).

Yours faithfully,

*Name: ________________________ *Address of Current Resident Country:


*Email ID: ________________________ _______________________________
*Contact Number: __________________ _______________________________

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