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Form 121 Generator

Generate Form No. 121 — Declaration under section 393(6) for receipt of certain incomes without deduction of tax.

1

Part A — Declarant Details

Personal & Contact Information

🏠 Address of Declarant

2

Part A — Income Details

Details of income for which this declaration is made

📋 ITR Details — Previous Two Tax Years (Col 14)

3

Part B — Payer / Deductor Details

(Optional — filled by payer after receiving Part A)

📄 Additional Info (Part B)

4

Place, Date & Signatures

Finalize and preview your Form No. 121

✍️ Signatures (Optional)

Declarant's SignatureClick to upload PNG/JPG
Payer's Authorized SignatoryClick to upload PNG/JPG
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Form No. 121
DECLARATION UNDER SECTION 393(6)
To be made by an individual or a person (not being a company or firm) claiming certain receipts without deduction of tax
Part A - Declarant Details
1. Name of Declarant:
...........................................
2. PAN:
...........................................
3. Status:
...........................
4. Residential Status:
...........................
5. Address:
India
6. Email:
...........................
7. Phone:
...........................
8. Whether age 60 or more?: No9. Tax Year: 2025-26
10. Nature of Income: ......................................................
11. Estimated Income:
0
12. Total Forms Filed:
0
13. Aggregate Income (11+12):
0
14. Total Est. Income for year:
0
15. Details of Form No. 121 filed earlier during the year
YearAck NumberIncome (₹)
2024-25-0
2023-24-0
DECLARATION / VERIFICATION

I/We, ..........................................., do hereby declare that to the best of my/our knowledge and belief what is stated above is correct, complete and is truly stated. I/We declare that the incomes referred to in this form are not includible in the total income of any other person. I/We further declare that the tax on my/our estimated total income including the income referred to in column 10 computed in accordance with the provisions of the Income-tax Act for the previous year ending on 31st March will be nil.

Place: ...........................................

Date: ...........................................
Signature of the Declarant
Part B - Payer Details
1. Name of Payer:
...........................
2. PAN:
...........................
3. TAN:
...........................
4. Email ID:
...........................
5. Contact No:
...........................
6. Unique ID (Col 10):
...........................
7. DOB / Incorporation:
...........................
8. Date Declaration Received:
...........................

Certified that the above declaration has been furnished to me/us by the declarant, and the amount has been paid / credited without deduction of tax.

Place: ...........................................

Date: ...........................................
Signature of Authorized Person
...................................... (PAN: ..............)