APPLICATION FORM (IT NOTICE COMPLIANCE)
PROVIDE THE DETAILS AS PER PAN (BLOCK LETTERS) Full Name *
VADDI SATYABHAMA
Father's Name *
VADDI KOMARESWARA RAO
Date of Birth *
1
2
/
0
1
/
1
9
6
PAN *
0
A
A
B
P
V
0
1
2
3
D
5
3
4
3
5
0
8
0
0
8
0
0
9-3-3, GOWTHAMI NAGAR, OPPOSITE TO LIBRARY,
Address *
KOVVUR, WEST GODAVARI DISTRICT
PIN Code *
State
ANDHRA PRADESH
Email *
[email protected]
Mobile No. * 8
0
9
9
OTHER INFORMATION Select Assessment Year. *
AY 2011-12 o
Salaried or Self Employed
*
AY 2012-13
AY 2013-14 o
AY 2014-15 o
o
Salaried / Pensioner
AY 2015-16 o
Self Employed / Business
Write Nature of Transactions referred in the Notice *:
MORE THAN 10 LAKHS AT BANK ACCOUNT
BANK DETAILS Aadhaar Number Bank Account Number * Name of Bank *
3
4
5
6
8
8
4
4
5
5
9
4
5
2
* Type of A/C
STATE BANK OF INDIA
IFSC CODE (Verify your Checkbook or Bank Passbook for IFSC Code) *
S
6
8
I
N
1
0
2
3
0
0
0
4
3
1
Current Account
Savings Bank A/C.
B
9
7
7
NOTE 1. Tax Genius calls the Applicant for collecting full information. 2. Applicant's PAN will be registered at ITD Portal/ Add as a client to E-Return Intermediary. 3. Based on the Information provided by Applicant Notice Compliance will be submitted at ITD Portal. 4. If necessary Applicant will be suggested to file the IT Return for which AY notice is issued. 5. Acknowledgement will be send to Applicant's Email ID onec compliance is submitted at ITD Portal. 6. Applicant should provide genuine information while submitting compliance. 7. This service is only for the Notices received from ITD which requires Online Compliance at ITD Portal. 8. Notices which requires Personal Presence are not covered under this category. 9. Tax Genius reserves the right to reject any Application and refund the Service Charges. 10. Application will be processed within 7 working days and subject to receipt of required inforamtion from Applicant. ** DECLARATION: I here by declare that the details furnished above are ture and correct to the best of my knowledge. Further I hereby authorize Tax Genius LLP to Register / Aleter my Profile at www.incometaxindiaefiling.gov.in for submitting Onlince Compliance. **
I Have sold my Ancentral Property. Signed. (Remarks If any) (Signature of the Applicant) * Call Centre: M/s. Tax Genius LLP, Near Govt. Area Hospital , Beside Hetero Pharmacy, TV Colony, Vanasthalipuram, Hyderabad-500070. Email:
[email protected] www.taxgenius.co.in Customer Care: 08099800800
