Application for a certificate under section 230 (1) of the ... - Sa-Dhan

FormNumber 31 FormSection 230(1) FormLaw Income Tax & Direct Tax FORM No. 31FormTitle Application for a certificate under section 230 (1) of the Income-tax Act, 1961Application for a certificate under section 230 (1) of the Income-tax Act, 1961[See rule 42] FormParentAct IncomeTax Act, 1961ToThe Assessing OfficerForeign SectionxxSir,I request that a Tax Clearance Certificate / an Exemption Certificate be granted to me. I give belowthe necessary particulars: --1. Full name of applicant (in block Letters) xx1A Present address x1B. Permanent address x2. Name of father (or husband) xx3. Domicile and nationality x4. Nature of business or profession etc. inIndia5. Name of Income-tax Circle in whichxassessed and the G.I.R. No. (if known)6. Whether exemption is claimed underxany section of the Act? If so, which7. Place(s) at which the business orxprofession is / was carried on8. Date of arrival in India (when were thexprevious visits made and what were theperiods of stay in each case)9. Destination of journey x10. Designation of the Assessing Officer, ifxany, who made the last assessment onthe applicant11. Probable date of departure x12. Mode of travel (by air / sea / land) x13. Date of intended return, if any x14. Passport No./ Emergency Certificate No. xissued on (date)xfrom (place and country)x

I declare that to the best of my knowledge and belief, the information furnished in the applicationis correct, complete and is truly stated.Authorisation form obtained from the AssessingOfficerx is enclosed herewith.PlaceDateYours faithfully,Applicant