Form IV Cancellation of Nomination under Pradhan Mantri Garib Kalyan Deposit Scheme 2016

By | December 16, 2016
(Last Updated On: December 16, 2016)

Pradhan Mantri Garib Kalyan Deposit Scheme  2016 shall come into force from the 17th day of December, 2016 and shall be valid till 31st day of March, 2017.This Scheme shall be applicable to every declarant under the Taxation and Investment Regime for Pradhan Mantri Garib Kalyan Yojana, 2016.  An application for the deposit under this Scheme shall be made in Form II clearly indicating the amount, full name, Permanent Account Number , Bank Account details (for receiving redemption proceeds), and address of the declarant: However  if the declarant does not hold a PAN, he shall apply for a PAN and provide the details of such PAN application along with acknowledgement number. The application   shall be accompanied by an amount which shall not be less than twenty-five per cent. of the undisclosed income. Application Form II has to be accompanied by Form III (Nomination) . Cancellation of Nomination has to be in Form IV


Form IV

[See paragraph 8(3)]

CANCELLATION OF NOMINATION

I ………………………………………………………………………………… (name and address) do hereby cancel the nomination dated ………………………… made by me in respect of the following Bonds Ledger Account No……………………and registered by the Reserve Bank of India on ……………………(date) vide registration no. ……………….

Particulars of the Bonds Ledger Account

Date of IssueNomenclature of

 

the

 

deposit

Bonds

 

Ledger

 

Account

Amount (Rs.)
    

 

Place:                                                                             (Signature of the Bonds Ledger Account holder)

 

Date:________

 

Signature with name and address of witnesses:

 

1…………………………………………………………………………………………

 

2…………………………………………………………………………………………

Acknowledgment

We acknowledge having cancelled the nomination in favour of ……………………… (Name of nominees) for the Bonds Ledger Account No. …………………… for the Deposit ……………………… noted vide our nomination registration no. …………….. dated …………………

Date: ………………….                                                                       Authorised Official ……………………..


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