Form 22, Download Income Tax Form 22 in PDF Format

Form No. 22 for Statement of Payment of an Approved Superannuation Fund. Form No. 22 Statement is prepared for tax deducted at source from contributions repaid to employees from approved superannuation fund.

(1) In cases where the trustees of an approved superannuation fund pay any contributions made by an employer, including interest on such contributions, to an employee during his life-time, they shall send within two months from the end of the financial year to the Assessing Officer referred to in rule 36A, a statement giving the following particulars, namely :—

(i) name of the superannuation fund;

(ii) name and address of the employee;

(iii) the period for which the employee has contributed to the superannuation fund;

(iv) the amount of contribution repaid on account of principal and interest;

(v) the average rate of deduction of tax during the preceding three years; and

(vi) the amount of tax deducted on repayment.

(2) A verification in the following Form shall be annexed to the statement referred to in sub-rule (1)

FORM OF VERIFICATION

We/I, the trustee(s) of the above named fund, do declare that what is stated in the above statement is true to the best of our/my information and belief.

FORM NO. 22

[See rule 33]

Statement of tax deducted at source from contributions repaid to employees in the case of an approved superannuation fund

1. Name of the superannuation fund

 

2. Name and address of the employee

 

3. The period for which the employee has contributed to the superannuation fund

 

4. The amount of contributions repaid-
(a) principal

 

(b) interest

 

5. The average rate of deduction of tax during the preceding three years

 

6. Amount of tax deducted on repayment

 

 

We, the trustees of _________ , do hereby declare that the above particulars are correct.

Date:

Signature

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