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Get and Sign Form 12c Filled Example
Thereof)
… … … … … .
(ii) Profits and gains of business or profession
… … … … … .
(iv) Capital gains
… … … … … .
(v) Income from other sources
Rs.
(a) Dividends
… … … … … .
(b) Interest
… … … … … .
(c) Other incomes
(specify)
… … … … … .
… … … … … .
TOTAL
Rs… … … … … .
5. Aggregate of sub-items (i) to (iv) of item 4
6. Tax deducted at source [enclose certificate(s) issued under section 203]
Place ....................
Date ....................
… … … … … … … … … … ..
Signature of...
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