RENEWAL LIFE INSURANCE PREMIUM RECEIPT
Insured Name
: KABUL DAS
Policy No
: U037463885
Policyowner
: KABUL DAS
Receipt Date
: 2013/11/12
Agent/Broker Code
: 004005113
Agent/Broker Name : Tata Aia Siliguri : SG01
Office Code
Payment Mode
Payment Method
Annual
Cash/Cheque
Modal Premium
Service Tax*
Amount Due
` 15,000.00
` 0.00
` 15,000.00
Premium due Period
Basic Plan Name Tata AIA Life InvestAssure Future (110L057V01)
Temporary Receipt No
Date
V0019612
2013/11/12
From 2013/11/11 to 2014/11/11
Amount Received ` 15,000.00
Amount ` `
15,000.00
Excess as on date (if any) : ` 0.00 Next Premium Due on : 2014/11/11
Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void. Any excess premium will be deposited in Future Policy Deposit Fund (FPDF). The amount lying in FPDF shall not bear any interest. Tax benefits ** on Life Insurance Policies are available u/s 80C, on Pension u/s 80CCC & Health policies / Riders u/s 80D of Income tax Act, 1961 Tax benefit u/s 80D is not available for premium payment in cash. Tax benefits u/s 80CCC and 80D are not available for premium payment through automatic loans from Cash Value of the policy if any, as per the policy provisions This is a computer-generated receipt and does not require signature. This receipt is null and void ab initio, if the cheque / any other valid negotiable instrument as per the Negotiable Instruments Act,1881, as receipted by the Company vide this receipt , is reported as dishonoured by the Company bank or any other Financial Institution on which the Negotiable instrument is drawn or is not acceptable to the Company due to any reason deemed fit by the company. * Service tax is applicable as per governing laws and the same shall be borne by the policyholder. Tata AIA Life Insurance Company Limited reserves the right to recover from the policyholder, any levies and duties (including service tax), as imposed by the government from time to time. Service tax Registration Number: AABCT3784CST001 Category of Service: Life Insurance Service and / or Management of investment under ULIP Services ** Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document. Please consult your own tax consultant to know the tax benefits available to you.
Consolidated Revenue stamp duty paid: Notification No. Mudrank 2013/621/PR.KR.144/M-1-18/03/2013 vide receipt No. 37240 dated 02-Feb-2013
Tata AIG Life Insurance Company Ltd. (Reg. No. 110)
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Tata AIA Life Insurance Company Ltd. (Reg. No. 110) XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Regd./Corporate Office : Delphi-B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park, Powai, Mumbai - 400 076 For & more information, call14th the Tata AIGTower Toll-free Helpline at 1-800-119966 or You can also SMSLower “SERVICE” toMumbai 58888. 400013 Registered Corporate Office: Floor, A,24-hour Peninsula Business Park, Senapati Bapat Marg, Parel, You For can more now get your policy information on advisor e-mail. We youour to register your e-mail id with us by writing in to or
[email protected] Information, contact your or urge call on Helpline No's 1-800-267-9966 (toll free) at 1-860-266-9966
(local charges apply) or SMS “Service” to 58888 or e-mail us at
[email protected].
U037463885
Version 3.0/FCI E/ROR/Other/147
