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

FORM NO. 10HA for Form of certificate under second proviso to section 80-O. FORM NO. 10HA is applicable to Indian companies and non-Indian companies and non-corporate residents who claim deductions under section 80-O of the Act in respect of royalty, received from certain foreign enterprises.

FORM NO. 10HA

[See rule 29AA]

Form of certificate under second proviso to section 80-O of the Income-tax Act, 1961

PART A

(CERTIFICATE OF FOREIGN INWARD REMITTANCE TO BE GIVEN BY BANK)



Bank

No.

Ref. No


Date

1. We certify that we have received the following remittance and proceeds thereof were paid:

(a) to beneficiary M/s
(Name and address) on

By Cash
By Pay-Order

By Credit to Current/ Saving/ Cash Credit Account with us/ with our
office for beneficiary’s account, or

(b) to

Bank
on
for credit of beneficiary of M/s.
`s (Name and address) Account

2. Name and address of remitter


3. Name and address of remitting bank

4. Demand Draft/ Telegraphic Transfer/ Money Transfer No.

Dated
Foreign currency amount
Rupee equivalent
(Rupees
) Favoring

5. Exchange rate applied


6. Purpose of remittance as stated by remitter
/ beneficiary

We also certify that the payment thereof has/ has not been received in non-convertible rupees or under any special trade or payments agreement.

We confirm that we have obtained reimbursement in any manner approved by the Reserve Bank of India and according to the laws.

For
Bank

Strike out whichever is inapplicable.

To

Manager

Countersigned


(name and designation)



(Address)

PART B

(CERTIFICATE TO BE GIVEN BY ELIGIBLE ASSESSEE)

1. Inward remittance received during the previous year
2. (i) Whether the convertible foreign exchange in (1) was brought into India


Yes /No

within a period of six months from the end of the previous year
(ii) If not, whether it was brought into India within such further period in the


Yes /No

previous year as allowed by the Competent Authority
(iii) Specify the amount and the relevant previous year in case such amount is brought into India in convertible foreign exchange beyond the period of six months from the end of relevant previous year and with the approval of the competent authority, where such amount relates to any other previous year. (Specify the authority and the period upto which the approval has been accorded.)

I certify that the total deduction of Rs. claimed under section 80-O in respect of assessment year
is correctly claimed in accordance with the provisions of the section.

I hereby certify that the above particulars contained in Part A and Part B of this certificate are true and correct to the best of my knowledge and belief and nothing has been concealed therein.

Place

Date

(Signature)

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