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

Form No. 34BA for Intimation to the Assessing Officer of Having Made an Application to the Settlement Commission. Form No. 34BA is relevant for an assessee who has filed as application to the settlement commission for the settlement of his case, in term of section 245 C of the act. Such assessee should, o the date of making the application to the settlement commission in Form 34B, also intimate the assessing Officer in this form about the factum of having made such as application to the settlement commission.

(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.

 

FORM 34BA

INTIMATION TO THE ASSESSING OFFICER OF HAVING MADE AN APPLICATION TO THE SETTLEMENT COMMISSION
(See Section 245C of the Income-tax Act, 1961
and rule 44C of the Income-tax Rules, 1962)

For Office use only

Receipt No.

Date

Seal and Signature of Receiving Official

 

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

 

CERTIFICATE

I,
,
son/daughter/wife of
do hereby certify that I have made today an application in Form No. 34B under sub-section (1) of section 245C of the Income-tax Act with above-mentioned particulars to the Settlement Commission at

Bench by post/by hand (delete whichever is not applicable) vide Receipt No.

(write receipt No. in the case application has been made by hand) in my capacity as

[write your designation]

 

Place

Date

Signature of applicant

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