To
Nobel Hygiene Pvt Ltd
Declaration
Name of Company
PAN
TAN
ITR Acknowledgment number for
Previous Year 2020-21
ITR Acknowledgment number for
Previous Year 2021-22
Turnover is Less than 10 Crore Yes/No
TDS TCS in 26AS is more than 50,000/-
Yes/No
In Previous year 2020-21
TDS TCS in 26AS is more than 50,000/-
Yes/No
In Previous year 2021-22
206AB Applicability
We declare that we are not liable to deduct
TDS u/s 194Q from the payment to you. Yes/No
Hence, you charge TCS on sale of goods
u/s.206C (1H) to our organization.
194Q Applicability
We declare that we are liable to deduct TDS
u/s194Q from the payment to you. Hence, Yes/No
you do not charge TCS on the sale of goods
u/s.206C (1H) to our organization
(A) In view of the above I/we hereby confirm that I/We shall deduct TDS@ 0.1% under section 194Q of Income Tax
Act, 1961 on purchase of any goods of the value or aggregate of such value exceeding INR 50 Lakh in F.Y 2021-22
from Nobel Hygiene Pvt Ltd & timely deposit the same to the Government treasury. Further, I/We shall issue TDS
certificate in respect of tax deducted in accordance to the provisions of the Income-tax Act and Income-Tax Rules.
(B) Further, I/We have confirmed to indemnify and hold Nobel Hygiene Pvt Ltd harmless from all claims, action from
the tax authorities or any other authority, risks, exposure arising to Nobel Hygiene Pvt Ltd on account Nobel
Hygiene Pvt Ltd using this declaration. Further I/We have confirmed to immediately reimburse any additional tax
liability, interest or penalty which may be charged on Nobel Hygiene Pvt Ltd by the tax authorities or any other
authority for utilizing the above declaration.
(C) I/We have confirmed to permit Nobel Hygiene Pvt Ltd alternatively to collect all such amounts from future
receipts under various contracts entered with me/us. Thus, I/We have confirmed to indemnify Nobel Hygiene Pvt
Ltd for all the losses incurred by them by using the said declaration for collecting receipts from me/us.
For _________________(Name of the organization)
Name of the authorized Signatory:
Designation of the authorized Signatory:
Date: