Printed from www.taxmann.com Form No. 33 [See rule 43] Clearance certificate under the first proviso to sub- section (1A) of section 230 of the Income-tax Act, 1961 Folio No.____________________ GOVERNMENT OF INDIA 1. Full name (in block letters) 2. Name of father (or husband) 3. Permanent Account Number 4. Passport No./Emergency Certificate No. This is to certify that the abovementioned applicant has *(a) no liabilities outstanding; *(b) made satisfactory arrangements for the payment of taxes which are or may become payable under the Wealth-tax Act, 1957 (27 of 1957), the Gift-tax Act, 1958 (18 of 1958), the Income-tax Act, 1961 (43 of 1961) or the Expenditure-tax Act, 1987 (35 of 1987). This certificate is valid for a journey or journeys to be commenced on or after_____________and before_________________ Place __________________ Date ___________________ (Assessing Officer) (Seal) *Strike out the paragraph which is not applicable.
