Form 10FB, Download Income Tax Form 10FB in PDF Format

FORM NO. 10FB for Certificate of Residence for the Purposes of Section 90 and 90A. FORM NO. 10FB is used by income tax department as a format for issuing Certificate of residence under section 90 and 90A of the income tax Act, 1961. This certificate is only valid for particular period.

(1) The certificate referred to in sub-section (4) of section 90 and sub-section (4) of section 90A to be obtained by an assessee, not being a resident in India, from the Government of the country or the specified territory shall contain the following particulars, namely:—

 (i)  Name of the assessee;

(ii)  Status (individual, company, firm etc.) of the assessee;

(iii) Nationality (in case of individual);

(iv) Country or specified territory of incorporation or registration (in case of others);

(v)  Assessee’s tax identification number in the country or specified territory of residence or in case no such number, then, a unique number on the basis of which the person is identified by the Government of the country or the specified territory;

(vi)  Residential status for the purposes of tax;

(vii) Period for which the certificate is applicable; and

(viii)  Address of the applicant for the period for which the certificate is applicable.

(2) The certificate referred to in sub-rule (1) shall be duly verified by the Government of the country or the specified territory of which the assessee, referred to in sub-rule (1), claims to be a resident for the purposes of tax.

(3) An assessee, being a resident in India, shall, for obtaining a certificate of residence for the purposes of an agreement referred to in section 90 and section 90A, make an application in Form No. 10FA to the Assessing Officer.

(4) The Assessing Officer on receipt of an application referred to in sub-rule (3) and being satisfied in this behalf, shall issue a certificate of residence in respect of the assessee in Form No. 10FB.

 

FORM NO. 10FB

[See rule 21AB (4)]

Certificate of residence for the purposes of section 90 and 90A

1.

Name of the Person

 

2.

Status

 

3.

Permanent Account Number

 

4.

Address of the person during the period of Tax Residency Certificate.

 

Certificate

It is hereby certified that the above mentioned person is a resident of India for the purposes of Income-tax Act, 1961.

This certificate is valid for the period __________________

Issued on __________ the day of ________, ________.

Name of the Assessing Officer

Designation_______________

Seal______ ______________.

 

 

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