Form No. 43

Certificate of residence for the purposes of section 159

Prescribed under rule 75(4) · Rule 75

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Part A: Particulars ofthe Applicant
1.	Name:	(refer Note 1)
2.	Address:	(refer Note 2)
3.	Communication Address in India:	(refer Note 3)
4.	Permanent Account Number (PAN):
5.	E-mail Id:
6.	Contact Number:	Country Code	Number

Certification

It is hereby certified that the above-mentioned person is a resident of India for the purposes of Income-tax Act, 2025 (30 of 2025). This certificate is valid for the period to .

Place: Signature:

Date: Name of the Assessing Officer:

Designation:

Notes:

1. The name shall include the first name, middle name and last name, in the case of an individuals and full name of the entity in other cases.

2. The address shall be the address during the period of Tax Residency Certificate and shall include flat/door/building, road/street/block/sector, area/locality, post office, town/city/district, state, country/region and pin code/zip code.

3. The communication address in India shall include flat/door/building, road/street/block/sector, area/locality, post of- fice, town/city/district, state and pin code.

4. Some of the information in the form would be pre-filled to the extent possible.

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Source: Income-tax Rules, 2026, Appendix III – notified by the CBDT vide G.S.R. 198(E) dated 20 March 2026. Reproduced for reference; the layout of the official Gazette form may differ slightly. Please verify with the official notification.