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Life Insurance 47K

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PREMIUM RECEIPT

Date : 31-Dec-2022

Personal Details
Plan Name: Tata AIA Life Insurance Sampoorna Raksha+
Policy Number: C194723743
(110N130V02)
Policy Owner Name: RAGHUPATHIREDDY Life Assured Name: RAGHUPATHI REDDY
PAN: CVKPP9864L NEFT: Updated
Email: RAGHUPATHI.PAINDLA@GMAIL.COM Contact Number: 9066808890
Agent Name: N V SURYA KUMAR Agent Contact Number: 9704634520

Policy Details
Premium Amount Due: ` 46,000.00 Payment Mode: Annual
Goods and Service Tax (GST): ` 1035.00 Next Premium Due: 31-12-2023
Total Amount Due: ` 47,035.00 Excess Amount*: ` 0.00
Amount Received: ` 47,035.00

Tax Benefit Details


Tax Applicable under Sec 80 C Tax Applicable under Sec 80 CCC Tax Applicable under Sec 80D
` 47,035.00 ` 0.00 ` 0.00

Payment Details
Receipt Number Receipt Date Amount Payment Method
ARC367504 31-Dec-2022 ` 47,035.00 Autodebit from Bank Account

Please Note:
⦁ This document can be used as proof for claiming deduction while filing your tax returns and tax benefits would be
applicable as per the prevailing tax laws.
⦁ Payment which have been made other than cash are subject to clearance including through electronic mode
payments.
⦁ Any excess premium will be adjusted towards premium due in the current financial year or due in the next three
months, whichever is later. Else premium will be auto refunded post 15 days.
⦁ Applicable govt taxes, surcharge, cess including GST would be charged in accordance to applicable laws and company
will have the right to recover the same from the policy holder.
⦁ Please refer policy document for detailed terms and conditions.

GST Details
Base Premium Taxable Value SGST/UTGST 9.00% CGST 9.00% IGST 0.00% Reverse Charge

` 46,000.00 ` 5,750.00 ` 517.50 ` 517.50 ` 0.00 N


ANDHRA
Tata AIA Life Insurance State Tata AIA Life Insurance GST IN 37AABCT3784C1ZC SAC Description Life Insuarance
PRADESH
Policy Owner’s GST State TELANGANA Policy Owner’s GSTIN NOT REGISTERED SAC Code 997132

Consolidation Revenue stamp duty paid: Notification No. Mudrank – CSD/126/2021/3176/21_Dtd.26 August 2022 vide
receipt number MH005113203202122E dated on 26-August-2022.

*Excess Amount is balance available with us after adjusting for outstanding premium and late payment fee (if any).
L&C/Misc/2021/Aug/0447

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