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Please fill all the below relevant Questions.

All the below Accounts


represent accounts in foreign countries only.(Other than USA)
1) Do you have an NRE/NRO Account/Savings Bank Account or Current
Bank Account? If Yes...

ACCOUNT - 1

Maximum value of the account from 1st Jan


2019 to Dec 31st 2019

Name of the Bank

Account Number

Type of Account
(NRE/NRO/SAVINGS/CURRENT)

Full Mailing Address of Bank

ACCOUNT - 2

Maximum value of the account from 1st Jan


2019 to Dec 31st 2019

Name of the Bank

Account Number

Type of Account
(NRE/NRO/SAVINGS/CURRENT)

 Full Mailing Address of Bank

ACCOUNT - 3

Maximum value of the account from 1st Jan 2019


to Dec 31st 2019

Name of the Bank

Account Number

Type of Account (NRE/NRO/SAVINGS/CURRENT)

Full Mailing Address of Bank


ACCOUNT - 4

 Maximum value of the account from 1st Jan


2019 to Dec 31st 2019

Name of the Bank

Account Number

Type of Account
(NRE/NRO/SAVINGS/CURRENT)

Full Mailing Address of Bank

2) Do You Have Any Fixed/Time Deposits in the Tax Year 2019? If Yes,

ACCOUNT - 1
Amount of Fixed Deposit

Name of the Bank

Fixed Deposit Account Number

Full Address of the Bank

ACCOUNT - 2

Amount of Fixed Deposit

Name of the Bank

Fixed Deposit Account Number

Full Address of the Bank


ACCOUNT - 3

Amount of Fixed Deposit

Name of the Bank

Fixed Deposit Account Number

Full Address of the Bank

3) Did you invest any amount in Stocks, Bonds, Debentures and Mutual
Funds in TY2019?

DMAT/MUTUAL FUND ACCOUNT - 1

Maximum Value of Stocks held in 2019?


Name of the Institution (DMAT ACCOUNT)

Account Number

Address of Institution

DMAT/MUTUAL FUND ACCOUNT - 2

Maximum Value of Stocks held in 2019?


Name of the Institution (DMAT ACCOUNT)

Account Number

Address of Institution

DMAT/MUTUAL FUND ACCOUNT - 3

Maximum Value of Stocks held in 2019?


Name of the Institution (DMAT ACCOUNT)

Account Number

Address of Institution
 
4) Do you have Business Interest that exceeds at least 50% in any
Business/Partnership or Company during 2019??

ENTITY 1:

Maximum Account Balance of the Entity’s Current


Account during the tax year 2019

Name of the Bank

Account Number

Type of Account

Full Mailing Address of Bank

Name of the Entity in which you have


shareholding?

Percentage of Shareholding

ENTITY 2:

Maximum Account Balance of the Entity’s Current


Account during the tax year 2019

Name of the Bank

Account Number

Type of Account

Full Mailing Address of Bank

Name of the Entity in which you have


shareholding?

Percentage of Shareholding
5) Do you have any Signature Interest or rights in any account including
Accounts of Inheritance?

If yes, value of such account on whom you are


maintaining signature authority

Owner of Property

Mailing Address of the Bank/Institution

Account Number

Street Address

City, State, Zip code

Country

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