Indemnity Bond format (to be typed on non-judicial Stamp Paper of Rs. 100):
INDEMNITY BOND
This Bond of indemnity is made this . . . . . . . . . . . (Date of indemnity Bond) in favour of Government of India (Department of Finance) i.e. Income Tax Department by Mr./Mrs/Ms. . . . . . . . . . . . . . . . . . . . . . (Name of the Indemnifier) Son of/Daughter of/ Wife of . . . . . . . . . . . on behalf of self or M/s . . . . . . . . . . . . . . .
PAN . . . . . . . . . . .
Status . . . . . . . . . . .
WHEREAS This is to undertake:
1. That I had filed my Income Tax Return for the Assessment Year . . . . . . . . . . .
2. That TDS claimed in the return of Rs. . . . . . . . . . . . belongs to me as per TDS certificates mentioned below
Name of Deductor, TAN of deductor, Date of TDS certificate, Amount
a. ……………………………
b…………………………………….
That Challan(s) paid for Rs. . . . . . . . . . . . . . . . . . . belongs to me as given below:OR
Date of Payment, Bank through which payment made, Amount
a. ……………………………
b…………………………………….
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.3. 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 any, in all respect.
In witness where of this bond is executed today this . . . . . . . . . . . . . . . . . . (Date)
(. . . . . . . . . . . . .)
. . . . . . . . . . . . .
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