FORM NO. 147 [See Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company] Quarterly statement to be furnished by an authorised dealer in respect of remittances made for the quarter of Tax Year

Part A: Particulars of authorised dealer

1.Name(refer Note 1)
2.Address(refer Note 2)
3.Permanent Account Number
4.Email id
5.Contact numberCountry CodeNumber
6.ITDREIN

Part B: Particulars of remittance made

Remitter DetailsRemittee DetailsRemittance Details
Sl.
No
.
Nam
e
Permane
nt
Account
Number
Nam
e
Permane
nt
Account
Number,
if
available
Tax
Identificati
on
Number, if
available
(refer Note
3)
Countr
y of
which
remittee
is a
residen
ce
Amou
nt
Da
te
Full
particula
rs of the
Account
to which
remittan
ce is
made
Purpo
se
Code
as per
RBI
Form No. 145
acknowledgm
ent no.
If
Form
No.
145
not
require
d enter
require
d code
as per
Note 4

DECLARATION

I ………………………..(full name), having Permanent Account Number ……….. in my capacity as … (designation)…. of …… (name of the authorised dealer) declare that the information given above are correct, true and complete.

Place ………… Signature
Date …………. Name

                                                                                                                                    Designation 

Notes

  1. 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.
  2. The address shall contain Country/Region, ii. Flat/Door/Block number iii. Road/Street/Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.
  3. Tax Identification Number of the deductee 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 deductee is identified by the Government of that country or the specified territory of which he claims to be a resident.
  4. i) Write ―A‖ if furnishing of Form No. 145 is exempt under Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company ii) Write ―B‖ if furnishing of Form No. 145 is exempt under Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company (3)(b) iii) Write ―C‖ if furnishing of Form No. 145 is exempt under Rule 220 - Furnishing of information for payment to a non-resident, not being a company, or to a foreign company (3)(c)
  5. Some of the information in the form would be pre-filled to the extent possible.