Form 34B, Download Income Tax Form 34B in PDF Format

Form No. 34B for Application for Settlement of Cases. Form No. 34B is applicable to any assessee who desires to have his case settled by the settlement commission in tem of section 24C of the act. The assessee has to make an application in this form to the settlement commission, at any stage of a case relating to him.


(1) An application for settlement of a case under sub-section (1) of section 245C shall be made in quintuplicate in Form No. 34B [and shall be verified in the manner indicated therein.]

[(2) The application referred to in sub-rule (1), the verification appended thereto, the Annexure to the said application and the statements and documents accompanying the Annexure shall be signed by the person specified in sub-rule (2) of rule 45.]

(3) Every application in connection with the settlement of a case shall be accompanied by a fee of five hundred rupees.]

[(4) The assessee shall, on the date on which he makes the application to the Settlement Commission, intimate in Form No. 34BA to the Assessing Officer of having made such application to the Commission.]

(1) The Settlement Commission shall, while calling for a report from the Commissioner under sub-section (2B) of section 245D, forward a copy of the application in Form No. 34B (other than the Annexure and the statements and other documents accompanying such Annexure) along with a copy of the order under sub-section (1) of section 245D or, as the case may be, an intimation in respect of an application deemed to have been allowed to be proceeded with under sub-section (2A) of that section 245D.

(2) Where an application has not been declared invalid under sub-section (2C) of section 245D or an application has been allowed to be further proceeded with under sub-section (2D) of section 245D, the information contained in the Annexure to the application in Form No. 34B and in the statements and other documents accompanying such Annexure shall be sent to the Commissioner.]

 

 

FORM NO. 34B

APPLICATION FOR SETTLEMENT OF CASES
(See section 245C of the Income-tax Act, 1961
and rules 44C and 44CA of the Income-tax
Rules, 1962)

In the Settlement
Commission
At
Bench
Settlement Application No.
20
20

 

PART-A PERSONAL INFORMATION

Name

PAN

Flat/Door/Block No.

Name of Premises/ Building/Village

        Status

(Tick) þ

(i) Individual

Road/Street/Post

Area/Locality

(ii) Hindu undivided family

Office

<<<,,

State

Pin Code

(iii) Company

Town/City/District

(iv) Firm

(v) Cooperative Society

E-mail Address

STD code and Phone

(vi) Local Authority

Number (
)
(vii) Association of persons
Body of individuals not
covered by (v) or (vi)

 

PART-B

ASSESSMENT JURISDICTION AND FILING STATUS

1.Designation of Assessing Officer (Ward/Circle)

2.

The Commissioner having jurisdiction over the applicant

3.

Assessment year(s) in connection with which the application for settlement is made and the date of filing the return

 

PART-C

PARTICULARS OF INCOME DISCLOSED AND PAYMENT OF ADDITIONAL TAX AND INTEREST

1.

The date from which the proceedings are pending. (Assessment year wise)

2.

Particulars of the issues to be settled, nature and circumstances of the case. (Assessment year wise)

3.

Full and true disclosure of income which has not been disclosed before the Assessing Officer. (Assessment year wise)
4.The additional amount of income-tax payable on income referred to in (3). (Assessment year wise)

5.

Interest payable. (Assessment year wise)

6.

Total of (5) and (6)

7.

Date of payment of tax and interest referred to in (7)

VERIFICATION

I,
,
son/daughter/wife of
do hereby solemnly declare that to the best of my knowledge and belief, what is stated above and in the Annexure [including the statement(s) and documents accompanying such Annexure] is correct and complete. I further declare that I am making this application in my capacity as

[write your designation] and that I am competent to make this application and to verify it. I also certify that the proceedings for which this application is being made is not covered by the proviso to clause (b) of section 245A of the Income-tax Act.

Verified today the

day of

 

Place

Signature of applicant

ANNEXURE

Statement containing particulars referred to in Part-C, item 3 of the application under section 245C(1) of the Income-tax Act, 1961

1.

Amount of income which has not been disclosed before the Assessing Officer (same as in Part-C, item 3 of the application)

 

2.

Additional amount of income-tax payable on the said income

 

3.

Interest payable

 

4.

Full and true statement of facts regarding the issues to be settled, including the terms of settlement sought for by the applicant. (Assessment year wise)

 

5.The manner in which the income referred to item No. 1 has been derived. (Assessment year wise)

 

PlaceDateSignature of Applicant

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