FTC Form 67

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I have salary income from US.
My employer gave me Form 16 combined for US as well as income from salary in India.
can that form 16 be used as a proof while filling Form 67?
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In accordance with Rule 128, in order to claim FTC, the taxpayer is required to file following documents on or before due date of filing of return:

1. A statement of :

foreign income offered to tax

foreign tax deducted or paid on such income in Form No. 67

2. Certificate or statement specifying the nature of income and the amount of tax deducted therefrom or paid by the taxpayer :

From the tax authority of the foreign country

from the person responsible for the deduction of such tax

signed by the taxpayer

3. Proof of payment of taxes outside India


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