To,
The
Commissioner of Income Tax,
Through the
I.T.O.
Subject: - Application for Exemption u/s 80 G of
Income Tax Act, 1961.
Dear
Sir,
With reference to the above, we are
submitting herewith following documents in triplicate for purpose of granting
eligibility u/s 80G:
1) Application in 10G with Court Fee
Stamp amounting to Rs. 5/-,
2) Certified Copy of Constitution of the
Trust
3) Copy of Registration Certificate
under the Tamilnadu Public Trusts Act 1950,
4) Copy of Certificate of 12A
registration under Income Tax Act, 1961
5) Copy of Certificate of last 80 G
Approval
6) Copy of PAN / TAN of the Trust:
PAN:
TAN:
7) Details about of PAN / TAN of
Trustees
8) The information regarding assessment
i.e. Return of Income filed:
Return of Income has been
filed upto 31st
March 200 . Acknowledgement
No.
9) List of donors above Rs. 5000/- for
last three years:
There are no persons who
have donated above Rs. 5000/- in last three Financial Years.
10) List of persons to whom interest
above Rs 2500/- is paid:
There are no persons to
whom interest above Rs. 2500/- has been paid in last three Financial Years.
11) A Certificate in respect of
utilisation of fund in India
12) Details of Present activity of the
trust.
13) Declaration that there is no change
in the Constitution of Firm.
14) Declaration U/s. 13(1)(c).
15) Letter of Condonation of Delay.
16) The Certificate of Managing Trustee
that all the information given is complete, true and correct.
17) Information in Annexure ‘B’ with
Annexure “B”.
18) Certified photocopy of Accounts of Trust with
Audit Report in Form 10B for last three years.
Kindly do the needful at your earliest, and
oblige.
Thank you very much,
Yours truly,
For
Secretary.
ANNEXURE
– B – 1
1. Name of the
trust :
2. Address of
the Trust :
3. Date of
Creation :
4. Registration
Number :
Date : Signature:
Place: Designation: Srecretary
THE INFORMATION REGARDING ASSESSMENT
Annexure - B – 3
1. Name of the Trust :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
-
LIST
OF FOUNDER MEMBERS OF
THE TRUST
Annexure
– B - 4
Sr.No. Name of the founder Member
List Of Executive Council & Members
PAN / TAN for the trustees obtained –
Sr.No. Name of the Trustee Address PAN
No.
Annexure - B – 5
1. Is any Object of Religious Nature or Non – Charitable
Nature :-
No.
3.Whether any object is hit by Expl. 3. to Section 80 G :-
No.
Annexure B - 6
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
1. Name of the Trustee :
2. Return of Income is filed :
3. Assessment Year :
4. Date of Return :
5. PAN Number :
6. TAN Number :
7. Acknowledgment
No. of Return :
8. Assessing Officer :
ANNEXURE
– B – 7
- If
Registered under section 12 (A) of the Income Tax Act, the Registration
and date of Registration:
--
Reg. Sr. No./CIT
- .Is the
trust Registered under section 80 G of the Income Tax Act:
--
Yes
- The date
of order and period of first recognition granted under section 80 G:
Not Applicable
- Last
period of exemption under section 80 G:
--
- If not
registered under section, reason for it:
--
NA
ANNEXURE
– B – 8
Details of expenditure on Objects for last 3 Financial Years
Sr. Financial
Year Nature of Expenditure Amount
No on
Objects Rs
ANNEXURE
– B – 10
1. Is the Income is exempt under section 10 (22), 11,12 ect.?
Yes. Income exempt U/s 11
2. Condition laid down under section 80 G (1) (V) & 12
A are fulfilled.
Yes
DECLARTION REGARDING UTILISATION OF FUNDS
We, the undersigned, Trustees of a
Private Charitable Trust registered with Charity Commissioner (Maharashtra State India India India
Date:
Place: Secretary
LIST OF PERSONS TO WHOM INTEREST ABOVE RS 2500/- IS
PAID.
Sr. Name of the Person Amount
No
____________________________
NIL____________________________
Date:
Place: Secretary
CERTIFICATE OF UTILIZATION OF FUND IN INDIA
This is to certify that the total
income of the trust for the financial year 200 -200 was Rs /-. Out of the total income an amount of Rs /-
was utilised in India during the financial year 200-200 as follows –
Date:
Place: Secretary
CERTIFICATE OF UTILIZATION OF FUND IN INDIA
This is to certify that the total
income of the trust for the financial year 200 - 200 was Rs /-. Out of the total income an amount
of Rs /- was utilised in India
1.
Date:
Place: Secretary
CERTIFICATE OF
UTILIZATION OF FUND IN INDIA
This is to certify that the total
income of the trust for the financial year 200 - 200 was Rs /-. Out of the total income an amount of
Rs /- was utilised in India
Date:
Place: Secretary
CONFIRMATION
CERTIFICATE
I, the undersigned, Managing Trustee of ( Reg.
No – F – ) do hereby declare that to the best of my knowledge and
belief, the information furnished in the application form, declaration and
other statement is true, correct and complete, and other particulars shown
therein are truly stated.
Date:
Place: Secretary
DECLARATION
We the trustees of the ( Reg. No – F
– 1545 City name) do hereby declare that the provisions of Section 13 (I) (c)
of the Income Tax Act, 1961 have not been infringed by the Trust since the date
of its creation upto the date of
application made for the renewal of exemption under section 80 G of the
Income Tax Act, 1961.
This Declaration is made on this 29th day of November, 2007
Date:
Place: Secretary
DECLARATION
We the trustees of the { Reg. No. }do here by declare that there has been no
change in the constitution of the trust since the date of its creation upto the
date of application made for renewal for exemption under Section 80 G of the
Income Tax Act, 1961.
This Declaration is made on this 29th
day of November ,
Date:
Place: City name Secretary
Members to whom benefited above Rs. 5000/- is given.
200 -201
|
Sr. No.
|
Name
|
Amount
|
|
1
2
|
|
|
200 -20
|
Sr. No.
|
Name
|
Amount
|
|
1
|
|
|
200 -200
|
Sr. No.
|
Name
|
Amount
|
|
1
2
3
|
|
|
Date:
Place: City name Secretary
Annexure B – 10
List of Employees of the Trust
--------------------------------------
--------NIL----------------------------------------------------------------
Date:
Place: City name Secretary
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