Annexure A Format for indemnity Bond
(to be typed on non judicial Stamp Paper of 100):
INDEMNITY BOND
This Bond of indemnity is made this 22/06/2015 in favour of Government of India (Department of Finance) i.e. Income Tax Department by Mr ……………………Son of ……………………. on behalf of self .
WHEREAS This is to undertake:
- That I had filed my Income Tax Return for the Assessment Year……………………………..
- That TDS claimed in the return of Rs. ……………………..belongs to me as per TDS certificates mentioned below:
| Name of Deductor | TAN of Deductor | TDS certificate | Date | Amount |
OR
That Challan(s) paid for Rs,…………………….. belongs to me s given below:
| Date of Payment | Bank through which payment made | Amount | BSR | CHALLAN NO |
- That in case it is found that the TDS certificates/ Challan does not belong to me then the executor of this bond indemnify the Government of India ( ministry of Finance) for the loss, claim and excess amount of refund, if an in all respect. The executor of this bond indemnifies the government of India (Ministry of Finance) and keep it indemnified against all costs, damages, charges and expenses, excess amount of refund, interest, reduction in demand and also against all sum/ money, whether for damages, costs, charges, expenses or otherwise.
(……………………… )
Date:-……………………………….
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