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Declaration

Form 15H Declaration for Senior Citizens

A self-declaration by a resident senior citizen (60 years or above) that their tax on estimated total income is nil, requesting no deduction of TDS on interest.

DECLARATION UNDER FORM 15H

Declaration under section 197A(1C) of the Income-tax Act, 1961 by a resident individual of the age of sixty years or more claiming certain receipts without deduction of tax.

I, [Full Name], aged [Age] years, son/daughter of [Father's Name], resident of [Full Address], holding PAN [PAN Number], being a resident senior citizen, do hereby declare as under:

I hereby declare that the tax on my estimated total income for the previous year [Financial Year] relevant to the assessment year [Assessment Year], including the interest income of Rs. [Amount] arising from [Deposit/Account No.] held with [Bank/Institution Name], will be NIL. I accordingly request that no tax be deducted at source on such interest income.

I certify that I am a resident of India and that the particulars stated above are true and correct to the best of my knowledge and belief.

_____________________
[Signature of Declarant]
[Name]
Place: [Place]    Date: [DD/MM/YYYY]

Before you use it — fill in / check

  • Full Name
  • Age
  • PAN Number
  • Financial Year
  • Bank/Institution Name
  • Interest Amount

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.