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Bank Name Account number Account type IFSC code Tick one account for refund
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Terms and Conditions


Question YES NO
Tax Saving Deductions (Payment of LIC premium, contribution to PPF and PF, NSC, 5 Year FD, home loan principal payment, Mutual Funds, Tuition fees of children, Sukanya Smridhi A/c, NPS, Donation to any charitable trust, etc) - Do not mention if claimed in Form 16
Any Loss in Previous years in share trading or business or house property
Health Insurance or any Medical Expenditure incurred for Senior Citizen
Do you have any foreign assets ( Bank Account, Shares, etc)
Did you went outside India for work ?

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