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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G69407/15/2020FORM
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To fill out the 15g370 11092018 form, follow these steps:
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Start by providing your name in the section labeled 'Name of the assessee'.
03
Fill in your PAN or TAN in the respective fields.
04
Enter your complete address, including the street name, city, state, and pin code.
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Next, provide your email address and contact number.
06
Fill in the relevant financial year for which the form is being filled.
07
Specify the date of filing in the prescribed format.
08
Answer the question regarding whether the assessee has been assessed to tax earlier in India.
09
If yes, provide the details of the assessing officer and the latest order or assessment year.
10
Complete the declaration at the end by signing the form and mentioning the place and date.
11
Keep a photocopy of the filled form for your records.
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The 15g370 11092018 form is required by individuals who meet certain criteria mentioned under Section 197A of the Income Tax Act, 1961. These individuals are eligible to submit this form to declare that their income is below the taxable limit, and they are not liable to pay any tax on the earnings.
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