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(To be filled up if the remittance is chargeable to tax and does not exceed fifty thousand rupees and the aggregate of such remittances made during the financial year does not exceed two lakh fifty thousand rupees) REMITTEE REMITTER Name of remitter PAN of the remitter (if available) TAN of the remitter (if available) Complete address, email and phone number of the remitter Status of remitter1 Name of recipient of remittance PAN of the recipient of remittance, if available2 Complete address,.

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