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| Book No________ | Voucher No______ | Book No________ | Voucher No______ |
| Counterfoil of certificate under proviso to section 50(3) of the Income Tax Ordinance, 1979_________________ | Certificate under proviso to section 50(3) of the Income Tax Ordinance, 1979.________________ | |
| 1. Date. | Income Tax Office. | |
| 2. Person to whom given. | Circle____________ Zone____________ | |
| 3. Person to whom addressed. | _____________________________ | |
| 4. Rate of deduction sanctioned. | Date__________ 19_____________ | |
| 5. Description of securities/payments. | To | |
| I hereby authorise you to deduct at the rate of [*] paying the interest on the following securities to their when ________ making the following. | ||
| Initials of the Deputy Commissioner of Income Tax. | present holder __a non resident in payments to Pakistan. | |
| [*] Date on which certificate revised ______19 | 2. The income in this case is exempt under the Income Tax Ordinance, 1979. | |
| [*] If the certificate is cancelled or revised the facts should be stated in this column giving cross references. | [*] Strike out whichever is inapplicable. | |
| Remarks__________________________ _________________________________ |
3. This authorisation will remain in force untill the date it is cancelled by me. | |
| Initials of the Deputy Commissioner of Income Tax | Deputy Commissioner of Income Tax
Description of securities/payments.___________________________ ________________________________________ |
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Name of Address the recipient |
National tax Number |
Nature of payment |
Contract Order No. |
Date of payment |
Total amount payable before deduction of tax |
1 2 |
3 |
4 |
5 |
6 |
7 |
Tax deducted and deposited |
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Amount paid after deduction of tax |
Super tax |
Income tax |
Sur charge |
Date of deposite of Tax to Government Treasury |
Treasury challan No. |
Remarks |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
| Name of the office, company etc. making payment____________________________________ | Signature________________ |
| Address____________________________________ | Name__________________ |
| National Tax Number of payer | Date___________________ |
I _____________hereby certify that the above statement contains a complete list of person from whom tax was deductible under section 50 (4) of the Income Tax Ordinance, 1979 (XXXI of 1979), during the month ending on _________199______.
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