DECLARATION FOR LOWER / NIL DEDUCTION OF TAX AT SOURCE
Submitted to [Deductor / Payer Name] in respect of payments liable to tax deduction at source under the Income-tax Act, 1961.
I/We, [Name of Deductee], holding PAN [PAN Number], residing/situated at [Full Address], do hereby declare as under:
I/We hereby declare that in respect of the payment of Rs. [Amount] receivable from you towards [Nature of Payment], tax may be deducted at a lower rate of [Rate]% / NIL rate in accordance with the certificate issued by the Assessing Officer under section 197 of the Income-tax Act, 1961, vide Certificate No. [Certificate Number] dated [Certificate Date], valid up to [Validity Date].
I/We confirm that the said certificate is in force and enclose a copy for your records. The particulars furnished above are true and correct.
[Signature of Deductee / Authorised Signatory]
[Name]
Place: [Place] Date: [DD/MM/YYYY]