Form No. 55
Form No. 55
Form No. 55
FORM NO. 55
[See rule 2C]
[Now redundant]
Application for approval of an association or institution for purposes of exemption under
section 10(23), or continuance thereof for the year
Sl. No. Name and address of the In the case of a company, Nominal value of the Income from the investment
concern number and class of shares investment
held
1 2 3 4 5
14. Whether any part of the income or any property of the association
was used or applied, in a manner which results directly or
indirectly in conferring any benefit, amenity or perquisite
(whether converted into money or not), or any interested person
as specified in sub-section (3) of section 13. If so, details thereof
15. Amount deemed to be income of the association by virtue of
sub-section (3) of section 11, as made applicable by the third
proviso to section 10(23)
16. (i) State the assessment particulars including permanent account
number/GIR number, name of the ward/circle
(ii) Last assessed and returned income
17. Has the association/institution distributed its income in the last
three years among its members?. If so, please indicate
reasons/purposes, i.e., whether as a loan, grant, subsidy or income
Certified that the above information is true and to the best of my knowledge and belief.
Place
Date Signature
Designation
Full address
Notes :
1. The application form should be sent to the Director General Income-tax (Exemptions) through the
Commissioner of Income-tax having jurisdiction over the trust or institution. Four copies of the application
form along with the enclosures should be sent.
2. The applicant shall furnish any other documents or information as required by the DG Income-tax (Exemptions)
or any authority authorised by the DG Income-tax (Exemptions).