Form 15G Word
Form 15G Word
Form 15G Word
FORM NO.15G
[See section 197 A(1), 197 A (1A ) and rule 29C]
PART I
16. Estimated income for which this declaration 17. Estimated total income of the. P.Y. in which
Is made. Income mentioned in column 16 to be included.
1,00,000 2,50,000
18. Details of Form No. 15G other than this form filed during the previous year, if any : NA
Total No. of Form 15G filed Aggregate amount of income for which Form No. 15G filed
Declaration / Verification
*I/We Vinay Konuru do here by declare that to the best of *my/our knowledge And believe what is stated
above is correct, complete and is truly stated. *I/We declare that the incomes referred to in this form are not
includible in the total income of any other person under sections 60 to 64 of the Income-tax act, 1961. *I/We
further declare that the tax *on aggregate amount of *income/incomes referred to in column 18 computed in
accordance with the provisions of Income-tax, Act 1961. For the previous year ending on
March 2022, relevant to the assessment year 2022-23, will be nil. *I/We also declare that *my/our
*income/incomes referred to in column 16 *and the aggregate amount of *income/incomes referred to in
column 18 for the previous year ending on Mar 2022 relevant to the assessment year 2022-23 will not exceed
the maximum amount which is not chargeable to income tax.
Place: Visakhapatnam
Date: Signature of the declarant
PART II
Place:
Date:
Signature of the person responsible for paying
the income referred to in column 16 of part I