Form 145 - Information to be furnished for payments to a non-resident not being a company, or to a f…
FORM NO. 145 [See Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company] Information to be furnished for payments to a non-resident not being a company, or to a foreign company
Part A
(To be filled up if the remittance is taxable under Act and the remittance or the aggregate of such remittances, as the case may be, does not exceed ₹ 5,00,000 rupees during the tax year)
| Row No. | Particulars of the Remitter (Sender) | ||
|---|---|---|---|
| 1. | Name | (refer Note 1) | |
| 2. | Address | (refer Note 2) | |
| 3. | Permanent Account Number | ||
| 4. | Status | (refer Note 3) | |
| 5. | Residential Status | (refer Note 4) | |
| 6. | Tax Deduction and Collection Account Number (if availa- ble) | ||
| 7. | Email id | ||
| 8. | Contact number | Country Code | Number |
| Particulars of the Remittee (Recipient) | |||
| 9. | Name | (refer Note 1) | |
| 10. | Permanent Account Number, if available | (refer Note 5) | |
| 11. | Tax Identification Number (TIN) in country of residence | (refer Note 6) | |
| 12. | Country of residence | (drop down) | |
| 13. | Complete address in the country of residence | (refer Note 2) | |
| 14. | Email id | ||
| 15. | Contact number | Country Code | Number |
| Particulars of the Remittance (Fund Transfer) | |||
| 16. | Country to which remittance is made | (drop down) | |
| 17. | Amount to be remitted (before deduction of tax at source) | ||
| 18. | Aggregate amount of remittances made during the tax year including this remittance | (refer Note 7) | |
| 19. | Particulars of bank | ||
| (a) IFSC Code | |||
| (b) Name | |||
| (c) Branch | |||
| (d) BSR Code of the branch (7 digit) | |||
| 20. | Particulars of authorized dealer | ||
| (a) Is the bank and authorized dealer the same | (Yes/No) | ||
| (b) If no, then name of the authorized dealer | (drop down) | ||
| (c) ITDREIN | |||
| 21. | Proposed date of remittance | (dd/mm/yyyy) | |
| 22. | Nature of remittance | (refer Note 8) | |
| 23. | Purpose code as per Reserve Bank of India | ||
| 24. | Sub code as per Reserve Bank of India | ||
| 25. | Particulars of deduction of tax at source |
| (a) Amount of tax deducted at source | ||
|---|---|---|
| (b) Rate of deduction of tax at source (%) | ||
| (c) Date of deduction | (dd/mm/yyyy) |
DECLARATION
| _________________________ (name of th | e person responsible for paying to non-resident), having Perm |
|---|
- I, _____________________________ (name of the person responsible for paying to non-resident), having Perma-
| nent Account Number … | …… in the capacity of | ___________________ (d |
|---|---|---|
| given above is true and correct and no relevant information has been concealed. |
nent Account information given above is true and correct and no relevant information has been concealed.
- I further undertake to submit the requisite documents for:
(a) enabling the income-tax authorities to determine the nature and amount of income of the recipient
(b) determining my liability under the Act as a person responsible for deduction of tax at source.
Place: ………… Signature of the person responsible for paying to non-resident
Date: ………… Name:
Designation:
Notes:
- In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full.
- The address shall contain i. Country/Region, ii. Flat/Door/Building, iii. Road/Street/ Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.
- Fill ‗person‘ status as (i) Individual (ii) Hindu undivided family (iii) Company (iv) Firm (v) Association of persons, whether incorporated or not (vi) Body of individuals, whether incorporated or not (vii) Local Au- thority (viii) Artificial Juridical Person (ix) Government (x) Trust
- Fill ‗residential status‘ as (i) Resident (ii) Non-resident (iii) Resident but not ordinarily resident.
- In case of non-availability of PAN, provisions of section 397(2) of Act shall be applicable.
- Tax Identification Number of the remittee in the country or specified territory of his residence and in case no such number is available, then a unique number on the basis of which the remittee is identified by the Gov- ernment of that country or the specified territory of which he claims to be a resident.
- Aggregate remittances made during the tax year shall be the sum of all remittances made before deduction of tax at source.
- Please select anyone from the followings for nature of remittance
| S. No. | Nature of Remittances |
|---|---|
| 1 | Advertisement Fee |
| 2 | AMC Charges |
| 3 | Architectural Services |
| 4 | Bandwidth Charges |
| 5 | Brokerage Charges |
| 6 | Business Income Other Than That Covered by Categories Above |
| 7 | Cargo Handling Services Inspection & Logistics Services |
| 8 | Cellular Roaming Charges |
| 9 | Charter Hire Charges (Shipping) |
| 10 | Clearing & Forwarding Charges |
| 11 | Commission |
|---|---|
| 12 | Communication Charges |
| 13 | Consulting Services |
| 14 | Designing Fee |
| 15 | Directors Fees |
| 16 | Dividend |
| 17 | Drilling |
| 18 | Engineering Services |
| 19 | Equipment Rental Charges |
| 20 | Fabrication Services |
| 21 | Fees for Technical Services/ Fees For Included Services |
| 22 | Freight Charges |
| 23 | Income from Immoveable Property |
| 24 | Income from Shipping, Inland Waterways Or Air Transport |
| 25 | Installation & Commissioning Services |
| 26 | Insurance Commissions |
| 27 | Interest Payment |
| 28 | Investment Income |
| 29 | Lease Payment |
| 30 | Licensing Fee |
| 31 | Long Term Capital Gains |
| 32 | Membership Fee |
| 33 | Mobile station Charges |
| 34 | Payments for Software Bundled with Hardware |
| 35 | Payments to Professors, Teachers or Research Scholars |
| 36 | Payments to Sports Person & Artists |
| 37 | Payments to Students Or Business Apprentice |
| 38 | Pensions (Other Than Those Related to Past Employment) |
| 39 | Processing Charges |
| 40 | Professional Services |
| 41 | Purchase of Software |
| 42 | R&D Charges |
| 43 | Registration Charges |
| 44 | Reimbursement of Expenses |
| 45 | Repatriation of Surplus Funds |
| 46 | Retainership Fees |
| 47 | Retention Fees |
|---|---|
| 48 | Royalty |
| 49 | Sales and Marketing Services |
| 50 | Seismic Data Processing |
| 51 | Short Term Capital Gains |
| 52 | Software Licenses |
| 53 | Sponsorship Fees |
| 54 | Subscription Fees |
| 55 | Supervision Charges |
| 56 | Survey Fees |
| 57 | Telecasting Services |
| 58 | Tender Fees |
| 59 | Testing Charges |
| 60 | Training |
| 61 | Warranty Services |
| 62 | Winning from Horse Races. |
| 63 | Winning from Lotteries, Crossword Puzzles, Card Games and Other Games of any sort. |
| 64 | Consular Receipts |
| 65 | Other Income / Other (Not in The Nature of Income) |
-
Some of the information in the form would be pre-filled to the extent possible.
-
Amounts to be filled in ₹ unless otherwise provided.
Part B
(To be filled up if the remittance is taxable under the Act and the remittance or the aggregate of such remit-
tances, as the case may be, exceeds ₹ 5,00,000 during the tax year and certificate or order under section 395 (1)
or 395(2) has been obtained from the Assessing Officer.)
| Row No. | Particulars of the Remitter (Sender) | ||
|---|---|---|---|
| 1. | Name | (refer Note 1) | |
| 2. | Address | (refer Note 2) | |
| 3. | Permanent Account Number | ||
| 4. | Status | (refer Note 3) | |
| 5. | Residential Status | (refer Note 4) | |
| 6. | Tax Deduction and Collection Account Number (if avail- able) | ||
| 7. | Email id | ||
| 8. | Contact number | Country Code | number |
| Particulars of the Remittee (Recipient) | |||
| 9. | Name | (refer Note 1) |
| 10. | Permanent Account Number, if available | (refer Note 5) | |
|---|---|---|---|
| 11. | Tax Identification Number (TIN) in country of residence | (refer Note 6) | |
| 12. | Country of residence | (drop down) | |
| 13. | Complete address in country of residence | (refer Note 2) | |
| 14. | Email id | ||
| 15. | Contact number | Country Code | Number |
| Particulars of certificate or order issued by the Assessing Officer | |||
| 16. | Certificate number or Order number | ||
| 17. | Date | ||
| 18. | Section under which certificate or order is obtained | o 395(1) o 395(2) | |
| 19. | Amount on which tax is to be deducted | ||
| 20. | Rate at which tax is to be deducted (%) | ||
| 21. | Designation of Assessing officer | ||
| Particulars of the Remittance (Fund Transfer) | |||
| 22. | Country to which remittance is made | (drop down) | |
| 23. | Currency | (drop down) | |
| 24. | Amount to be remitted (before deduction of tax at source) | In foreign curren- cy | |
| In ₹ | |||
| 25. | Particulars of bank | ||
| (a) IFSC Code | |||
| (b) Name | |||
| (c) Branch | |||
| (d) BSR Code of the branch (7 digit) | |||
| 26. | Particulars of authorized dealer | ||
| (a) Is the bank and authorized dealer the same | (Yes/No) | ||
| (b) If no, then name of the authorized dealer | (drop down) | ||
| (c) ITDREIN | |||
| 27. | Proposed date of remittance | (dd/mm/yyyy) | |
| 28. | Nature of remittance | (refer Note 7) | |
| 29. | Purpose code as per Reserve Bank of India | ||
| 30. | Sub-code as per Reserve Bank of India | ||
| 31. | Particulars of deduction of tax at source | ||
| (a) Amount of tax deducted at source | |||
| (b) Rate of deduction of tax at source (%) | |||
| (c) Date of deduction | (dd/mm/yyyy) |
DECLARATION
- I, _____________________ (name of the person responsible for paying to non-resident), having Permanent Account Num-
| ber ………. in the capacity | of ____________ (de | signation) declare | that the information given above is true and co |
|---|---|---|---|
| rect and no relevant information has been concealed. |
ber ………. in the capacity of ____________ (designation) declare that the information given above is true and cor- rect and no relevant information has been concealed.
-
I certify that a certificate or order under section 395(1) or 395(2) has been obtained, particulars of which are given in this Form.
-
I further undertake to submit the requisite documents for–– (a) enabling the income tax authorities to determine the nature and amount of income of the recipient; (b) determining my liability under the Act as a person responsible for deduction of tax at source.
Place: ………… Signature of the person responsible for paying to non-resident
Date: ………… Name:
Designation:
Notes:
- In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full.
- The address shall contain i. Country/Region, ii. Flat/Door/Building, iii. Road/Street/ Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.
- Fill ‗person‘ status as (i) Individual (ii) Hindu undivided family (iii) Company (iv) Firm (v) Association of persons, whether incorporated or not (vi) Body of individuals, whether incorporated or not (vii) Local Au- thority (viii) Artificial Juridical Person (ix) Government (x) Trust
- Fill ‗residential status‘ as (i) Resident (ii) Non-resident (iii) Resident but not ordinarily resident.
- In case of non-availability of PAN, provisions of section 397(2) shall be applicable.
- Tax Identification Number of the remittee in the country or specified territory of his residence and in case no such number is available, then a unique number on the basis of which the remittee is identified by the Gov- ernment of that country or the specified territory of which he claims to be a resident.
- Please select anyone from the followings for nature of remittance
| S. No. | Nature of Remittances |
|---|---|
| 1 | Advertisement Fee |
| 2 | AMC Charges |
| 3 | Architectural Services |
| 4 | Bandwidth Charges |
| 5 | Brokerage Charges |
| 6 | Business Income Other Than That Covered by Categories Above |
| 7 | Cargo Handling Services Inspection & Logistics Services |
| 8 | Cellular Roaming Charges |
| 9 | Charter Hire Charges (Shipping) |
| 10 | Clearing & Forwarding Charges |
| 11 | Commission |
| 12 | Communication Charges |
| 13 | Consulting Services |
| 14 | Designing Fee |
| 15 | Directors Fees |
| 16 | Dividend |
| 17 | Drilling |
| 18 | Engineering Services |
| 19 | Equipment Rental Charges |
| 20 | Fabrication Services |
|---|---|
| 21 | Fees for Technical Services/ Fees For Included Services |
| 22 | Freight Charges |
| 23 | Income from Immoveable Property |
| 24 | Income from Shipping, Inland Waterways Or Air Transport |
| 25 | Installation & Commissioning Services |
| 26 | Insurance Commissions |
| 27 | Interest Payment |
| 28 | Investment Income |
| 29 | Lease Payment |
| 30 | Licensing Fee |
| 31 | Long Term Capital Gains |
| 32 | Membership Fee |
| 33 | Mobile station Charges |
| 34 | Payments for Software Bundled with Hardware |
| 35 | Payments to Professors, Teachers or Research Scholars |
| 36 | Payments to Sports Person & Artists |
| 37 | Payments to Students Or Business Apprentice |
| 38 | Pensions (Other Than Those Related to Past Employment) |
| 39 | Processing Charges |
| 40 | Professional Services |
| 41 | Purchase of Software |
| 42 | R&D Charges |
| 43 | Registration Charges |
| 44 | Reimbursement of Expenses |
| 45 | Repatriation of Surplus Funds |
| 46 | Retainership Fees |
| 47 | Retention Fees |
| 48 | Royalty |
| 49 | Sales and Marketing Services |
| 50 | Seismic Data Processing |
| 51 | Short Term Capital Gains |
| 52 | Software Licenses |
| 53 | Sponsorship Fees |
| 54 | Subscription Fees |
| 55 | Supervision Charges |
| 56 | Survey Fees |
|---|---|
| 57 | Telecasting Services |
| 58 | Tender Fees |
| 59 | Testing Charges |
| 60 | Training |
| 61 | Warranty Services |
| 62 | Winning from Horse Races. |
| 63 | Winning from Lotteries, Crossword Puzzles, Card Games and Other Games of any sort. |
| 64 | Consular Receipts |
| 65 | Other Income / Other (Not in The Nature of Income) |
- Some of the information in the form would be pre-filled to the extent possible.
- Amounts to be filled in ₹ unless otherwise provided.
Part C (To be filled up if the remittance is taxable under Act and the remittance or the aggregate of such remittanc- es, as the case may be, exceeds ₹ 5,00,000 during the tax year and a certificate in Form No. 146 from an ac- countant as defined in the section 515(3)(b) has been obtained)
| Row No. | Particulars of the Remitter (Sender) | ||
|---|---|---|---|
| 1. | Name | (refer Note 1) | |
| 2. | Address | (refer Note 2) | |
| 3. | Permanent Account Number | ||
| 4. | Status | (refer Note 3) | |
| 5. | Residential Status | (refer Note 4) | |
| 6. | Tax Deduction and Collection Account Number (if available) | ||
| 7. | Email id | ||
| 8. | Contact number | Country Code | Number |
| Particulars of the Remittee (Recipient) | |||
| 9. | Name | (refer Note 1) | |
| 10. | Permanent Account Number, if available | (refer Note 5) | |
| 11. | Tax Identification Number (TIN) in country of residence | (refer Note 6) | |
| 12. | Country of residence | (drop down) | |
| 13. | Complete Address in country of residence | (refer Note 2) | |
| 14. | Principal place of business | ||
| 15. | Email id | ||
| 16. | Contact number | Country Code | Number |
| Details of Accountant | |||
| 17. | Name | (refer Note 1) | |
| 18. | Permanent Account Number | ||
| 19. | Address | (refer Note 2) | |
| 20. | Member Registration Number |
| 21. | Date of Registration | (dd/mm/yyyy) | |
|---|---|---|---|
| 22. | Unique Document Identification Number (UDIN) | ||
| 23. | Form 146 Acknowledge Receipt Number | ||
| 24. | Name of the proprietorship/firm | ||
| 25. | Firm Registration Number (FRN) | ||
| Particulars of the Remittance (Fund Transfer) | |||
| 26. | Country to which remittance is made | (drop down) | |
| 27. | Currency | (drop down) | |
| 28. | Amount to be remitted (before deduction of tax at source) | In foreign currency | |
| In ₹ | |||
| 29. | Particulars of Bank | ||
| (a) IFSC Code | |||
| (b) Name of Bank | |||
| (c) Branch of the bank | |||
| (d) BSR Code of the bank branch (7 digit) | |||
| 30. | Particulars of authorized dealer | ||
| (a) Is the bank and authorized dealer the same | Yes/No | ||
| (b) If no, then name of the authorized dealer | |||
| (c) ITDREIN | |||
| 31. | Proposed date of remittance | (dd/mm/yyyy) | |
| 32. | Nature of remittance | (refer Note 7) | |
| 33. | Purpose code as per Reserve Bank of India | ||
| 34. | Sub-code as per Reserve Bank of India | ||
| 35. | Whether tax payable has been grossed up as per section 393(10) | Yes/No | |
| 36. | Taxability under the provisions of the Act [without considering Double Taxation Avoidance Agreement (―DTAA‖)] | ||
| (a) is remittance chargeable to tax in India | Yes/No | ||
| (b) if no, give reasons | |||
| (c) if yes, | |||
| (i) section under which remittance is chargeable to tax | |||
| (ii) amount of income chargeable to tax | |||
| (iii) tax liability | |||
| (iv) basis of determining taxable income and tax li- ability | |||
| (v) rate of deduction of tax at source (%) | |||
| 37. | If relief is claimed under DTAA–– | Yes/No | |
| (a) has Tax Residency Certificate is obtained from the remittee | Yes/No | ||
| (b) if yes, Tax Residency Certificate Number | |||
| (c) relevant DTAA | |||
| (d) article of DTAA | |||
| (e) nature of payment as per DTAA | |||
| (f) taxable income as per DTAA | |||
| (g) tax liability as per DTAA | |||
| 38. | Taxability under the Double Taxation Avoidance Agreement (―DTAA‖) |
| (A) | If the remittance is on account of royalties, fee for technical services, interest, dividend (not connected with permanent establishment) please indicate: - | |
|---|---|---|
| (a) is such remittance taxable in India as per DTAA | Yes/No | |
| (b) if yes,–– | ||
| (i) article of DTAA | ||
| (ii) amount taxable in India as per DTAA | ||
| (iii) rate of deduction of tax at source as per DTAA (%) | ||
| (c) if no, furnish brief reasons, specifying article of DTAA | ||
| (B) | If remittance is on account of business income (including business income where royalty, fee for tech- nical services or interest is connected with permanent establishment), please indicate––- | |
| (a) is such remittance taxable in India as per DTAA | Yes/No | |
| (b) if yes,–– | ||
| (i) article of DTAA | ||
| (ii) amount taxable in India as per DTAA | ||
| (iii) rate of deduction of tax at source as per DTAA (%) | ||
| (c) if no, furnish brief reasons, specifying article of DTAA | ||
| (C) | If remittance is on account of capital gains, please indicate: - | |
| (a) is such remittance taxable in India as per DTAA | Yes/No | |
| (b) if yes,–– | ||
| (i) article of DTAA | ||
| (ii) long-term capital gains | ||
| (iii) short-term capital gains | ||
| (iv) basis of arriving at capital gains | ||
| (v) rate of deduction of tax at source as per DTAA (%) | ||
| (c) if no, furnish brief reasons, specifying article of DTAA | ||
| (D) | If remittance not covered by sub-items (A), (B) and (C) | |
| (a) nature of remittance | ||
| (b) is such remittance taxable in India as per DTAA | Yes/No | |
| (c) if yes,–– | ||
| (i) article of DTAA | ||
| (ii) amount taxable in India as per DTAA | ||
| (iii) rate of deduction of tax at source as per DTAA (%) | ||
| (d) if no, furnish brief reasons, specifying article of DTAA | ||
| Details of tax deducted at source | ||
| 39. | Amount of tax deducted at source | |
| 40. | Whether tax is deducted at source–– (i) as per the Act or (ii) as per relevant DTAA | (i)/(ii) |
| 41. | Rate at which tax is deducted | As per the Act (%) or as per DTAA (%) |
| 42. | Actual amount of remittance after deduction of tax at source | In foreign currency | |
|---|---|---|---|
| In ₹ | |||
| 43. | Date of deduction of tax at source, if any | (dd/mm/yyyy) |
DECLARATION
| _______ (name o | f the person responsible for paying to non-resident | ), having Perman | ent Account Numbe | |
|---|---|---|---|---|
| ………… in the capacity of _____________ (designation) declare that the information given above is true and correc |
-
I, _____________ (name of the person responsible for paying to non-resident), having Permanent Account Number
………… in the capacity of _____________ (designation) declare that the information given above is true and correct and no relevant information has been concealed. -
I certify that a certificate has been obtained from an accountant, particulars of which are given in this Form, certify- ing the amount, nature and correctness of deduction of tax at source.
-
In case where it is found that the tax actually deductible on the amount of remittance has not been deducted or after deduction has not been paid or not paid in full, I undertake to pay the amount of tax not deducted or not paid, as the case may be, along with interest due.
-
I shall also be subject to the provisions of penalty for the said default as per the provisions of the Act.
-
I further undertake to submit the requisite documents for–– (a) enabling the income-tax authorities to determine the nature and amount of income of the recipient; (b) determining my/our liability under the Act as a person responsible for deduction of tax at source.
Place………… Signature of the person responsible
for paying to non-resident…………
Date ……….. Name:
Designation:
Notes:
- In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full.
- The address shall contain i. Country/Region, ii. Flat/Door/Building, iii. Road/Street/ Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.
- Fill ‗person‘ status as (i) Individual (ii) Hindu undivided family (iii) Company (iv) Firm (v) Association of persons, whether incorporated or not (vi) Body of individuals, whether incorporated or not (vii) Local Au- thority (viii) Artificial Juridical Person (ix) Government (x) Trust
- Fill ‗residential status‘ as (i) Resident (ii) Non-resident (iii) Resident but not ordinarily resident.
- In case of non-availability of PAN, provisions of section 397(2) shall be applicable.
- Tax Identification Number of the remittee in the country or specified territory of his residence and in case no such number is available, then a unique number on the basis of which the remittee is identified by the Gov- ernment of that country or the specified territory of which he claims to be a resident.
- Please select anyone from the followings for nature of remittance
| S. No. | Nature of Remittances |
|---|---|
| 1 | Advertisement Fee |
| 2 | AMC Charges |
| 3 | Architectural Services |
| 4 | Bandwidth Charges |
| 5 | Brokerage Charges |
| 6 | Business Income Other Than That Covered by Categories Above |
| 7 | Cargo Handling Services Inspection & Logistics Services |
|---|---|
| 8 | Cellular Roaming Charges |
| 9 | Charter Hire Charges (Shipping) |
| 10 | Clearing & Forwarding Charges |
| 11 | Commission |
| 12 | Communication Charges |
| 13 | Consulting Services |
| 14 | Designing Fee |
| 15 | Directors Fees |
| 16 | Dividend |
| 17 | Drilling |
| 18 | Engineering Services |
| 19 | Equipment Rental Charges |
| 20 | Fabrication Services |
| 21 | Fees for Technical Services/ Fees For Included Services |
| 22 | Freight Charges |
| 23 | Income from Immoveable Property |
| 24 | Income from Shipping, Inland Waterways Or Air Transport |
| 25 | Installation & Commissioning Services |
| 26 | Insurance Commissions |
| 27 | Interest Payment |
| 28 | Investment Income |
| 29 | Lease Payment |
| 30 | Licensing Fee |
| 31 | Long Term Capital Gains |
| 32 | Membership Fee |
| 33 | Mobile station Charges |
| 34 | Payments for Software Bundled with Hardware |
| 35 | Payments to Professors, Teachers or Research Scholars |
| 36 | Payments to Sports Person & Artists |
| 37 | Payments to Students Or Business Apprentice |
| 38 | Pensions (Other Than Those Related to Past Employment) |
| 39 | Processing Charges |
| 40 | Professional Services |
| 41 | Purchase of Software |
| 42 | R&D Charges |
| 43 | Registration Charges |
|---|---|
| 44 | Reimbursement of Expenses |
| 45 | Repatriation of Surplus Funds |
| 46 | Retainership Fees |
| 47 | Retention Fees |
| 48 | Royalty |
| 49 | Sales and Marketing Services |
| 50 | Seismic Data Processing |
| 51 | Short Term Capital Gains |
| 52 | Software Licenses |
| 53 | Sponsorship Fees |
| 54 | Subscription Fees |
| 55 | Supervision Charges |
| 56 | Survey Fees |
| 57 | Telecasting Services |
| 58 | Tender Fees |
| 59 | Testing Charges |
| 60 | Training |
| 61 | Warranty Services |
| 62 | Winning from Horse Races. |
| 63 | Winning from Lotteries, Crossword Puzzles, Card Games and Other Games of any sort. |
| 64 | Consular Receipts |
| 65 | Other Income / Other (Not in The Nature of Income) |
-
Some of the information in the form would be pre-filled to the extent possible.
-
Amounts to be filled in ₹ unless otherwise provided.
Part D [To be filled up if the remittance is not taxable under the Act {other than payments referred to in Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company} by the person referred to in Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company]
| Row No. | Particulars of the Remitter (Sender) | |
|---|---|---|
| 1. | Name | (refer Note 1) |
| 2. | Address | (refer Note 2) |
| 3. | Permanent Account Number | |
| 4. | Status | (refer Note 3) |
| 5. | Residential Status | (refer Note 4) |
| 6. | Tax Deduction and Collection Account Number (if available) | |
| 7. | Email id |
| 8. | Contact number | Country Code | Number |
|---|---|---|---|
| Particulars of the Remittee (Recipient) | |||
| 9. | Name | (refer Note 1) | |
| 10. | Permanent Account Number, if available | ||
| 11. | Tax Identification Number (TIN) in country of resi- dence | (refer Note 5) | |
| 12. | Country of residence | (drop down) | |
| 13. | Complete address in country of residence | (refer Note 2) | |
| 14. | Email ID | ||
| 15. | Contact number | Country Code | Number |
| Particulars of the Remittance (Fund Transfer) | |||
| 16. | Country to which remittance is made | (drop down) | |
| 17. | Amount to be remitted (before deduction of tax at source) | In foreign currency | |
| In ₹ | |||
| 18. | Particulars of Bank | ||
| (a) IFSC Code | |||
| (b) Name of Bank | |||
| (c) Branch of the bank | |||
| (d) BSR Code of the bank branch (7 digit) | |||
| 19. | Particulars of authorized dealer | Yes/No | |
| (a) Is the bank and authorized dealer the same | (drop down) | ||
| (b) If no, then Name of the authorized dealer | |||
| (c) ITDREIN | |||
| 20. | Proposed date of remittance | (dd/mm/yyyy) | |
| 21. | Nature of remittance | (refer Note 6) | |
| 22. | Purpose code as per Reserve Bank of India | ||
| 23. | Sub-code as per Reserve Bank of India |
- I certify that I have reason to believe that the remittance as above is not chargeable under the provision of the Act and is not liable for deduction of tax at source.
DECLARATION
-
I, _____________ (name of the person responsible for paying to non-resident), having Permanent Account Number
………… in the capacity of _____________ (designation) declare that the information given above is true and correct and no relevant information has been concealed. -
In a case where it is found that the tax actually deductible on the amount of remittance has not been deducted or after deduction has not been paid or not paid in full, I undertake to pay the amount of tax not deducted or not paid, as the case may be, along with interest due.
-
I shall also be subject to the provisions of penalty for the said default as per the provisions of the Act.
-
I further undertake to submit the requisite documents for–– (a) enabling the income-tax authorities to determine the nature and amount of income of the recipient; (b) determining my liability under the Act as a person responsible for deduction of tax at source.
Place………… Signature of the person responsible
for paying to non-resident…………
Date ……….. Name:
Designation:
Notes:
- In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full.
- The address shall contain (i) Flat/Door/Block number, (ii) Name of the premises, (iii) Road/Street/Lane, (iv) Area/locality, (v) Town/City/District, (vi) State, (vii) Pin/ZIP Code.
- Fill ‗person‘ status as (i) Individual (ii) Hindu undivided family (iii) Company (iv) Firm (v) Association of persons, whether incorporated or not (vi) Body of individuals, whether incorporated or not (vii) Local Au- thority (viii) Artificial Juridical Person (ix) Government (x) Trust
- Fill ‗residential status‘ as (i) Resident (ii) Non-resident (iii) Resident but not ordinarily resident.
- Tax Identification Number of the remittee in the country or specified territory of his residence and in case no such number is available, then a unique number on the basis of which the remittee is identified by the Gov- ernment of that country or the specified territory of which he claims to be a resident.
- Please select anyone from the followings for nature of remittance
| S. No. | Nature of Remittances |
|---|---|
| 1 | Advertisement Fee |
| 2 | AMC Charges |
| 3 | Architectural Services |
| 4 | Bandwidth Charges |
| 5 | Brokerage Charges |
| 6 | Business Income Other Than That Covered by Categories Above |
| 7 | Cargo Handling Services Inspection & Logistics Services |
| 8 | Cellular Roaming Charges |
| 9 | Charter Hire Charges (Shipping) |
| 10 | Clearing & Forwarding Charges |
| 11 | Commission |
| 12 | Communication Charges |
| 13 | Consulting Services |
| 14 | Designing Fee |
| 15 | Directors Fees |
| 16 | Dividend |
| 17 | Drilling |
| 18 | Engineering Services |
| 19 | Equipment Rental Charges |
| 20 | Fabrication Services |
| 21 | Fees for Technical Services/ Fees For Included Services |
| 22 | Freight Charges |
| 23 | Income from Immoveable Property |
| 24 | Income from Shipping, Inland Waterways Or Air Transport |
| 25 | Installation & Commissioning Services |
| 26 | Insurance Commissions |
|---|---|
| 27 | Interest Payment |
| 28 | Investment Income |
| 29 | Lease Payment |
| 30 | Licensing Fee |
| 31 | Long Term Capital Gains |
| 32 | Membership Fee |
| 33 | Mobile station Charges |
| 34 | Payments for Software Bundled with Hardware |
| 35 | Payments to Professors, Teachers or Research Scholars |
| 36 | Payments to Sports Person & Artists |
| 37 | Payments to Students Or Business Apprentice |
| 38 | Pensions (Other Than Those Related to Past Employment) |
| 39 | Processing Charges |
| 40 | Professional Services |
| 41 | Purchase of Software |
| 42 | R&D Charges |
| 43 | Registration Charges |
| 44 | Reimbursement of Expenses |
| 45 | Repatriation of Surplus Funds |
| 46 | Retainership Fees |
| 47 | Retention Fees |
| 48 | Royalty |
| 49 | Sales and Marketing Services |
| 50 | Seismic Data Processing |
| 51 | Short Term Capital Gains |
| 52 | Software Licenses |
| 53 | Sponsorship Fees |
| 54 | Subscription Fees |
| 55 | Supervision Charges |
| 56 | Survey Fees |
| 57 | Telecasting Services |
| 58 | Tender Fees |
| 59 | Testing Charges |
| 60 | Training |
| 61 | Warranty Services |
| 62 | Winning from Horse Races. |
|---|---|
| 63 | Winning from Lotteries, Crossword Puzzles, Card Games and Other Games of any sort. |
| 64 | Consular Receipts |
| 65 | Other Income / Other (Not in The Nature of Income) |
- Some of the information in the form would be pre-filled to the extent possible.
- Amounts to be filled in ₹ unless otherwise provided.