Form E – Agricultural Income
FORM ‘E’
(see rule 18 (2))
APPLICATION FOR REFUND OF TAX UNDER THE PUNJAB AGRICULTURAL INCOME TAX RULES, 2001
To
The Collector, Sub-Division ______________________________
I, _______________________ son/daughter/wife of _____________ hereby declare-
(a) that may taxable agricultural income computed in accordance with the provisions of the Punjab Agricultural Income Tax Rules, 2001, during the income year which ended on __________ amounted to Rs. ___________;
(b) that the total tax chargeable in respect of such taxable agricultural income is Rs. _______________;
(c) that the total land based tax chargeable from me for the income year mentioned at (a) above under the Punjab Agricultural Income Tax Rules 1997 is Rs.____________;
(d) that the total amount of tax paid by me for the income year is more than the tax at
(b) above and also (c) above and photo copy of the relevant receipted challan is enclosed.
I therefore request that a refund of Rs. ________________ may be allowed to me.
Signature
Name _____________________
N.I.C. No. _________________
Address ___________________
VERIFICATION
I hereby declare that whatever is stated in this application is correct.
Dated:
Signature
Notes
- The application should be accompanied by a statement of total cultivated land and also by a return of total agricultural income if the same has already been filed.
- The application should be made to the Collector of the Sub-Division who assessed /collected the tax.
- The application should be presented in person or through an authorized agent or may be sent by post.
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