FORM NO. 10DB
[See rule 20AB]
Form for evidence of payment of securities transaction tax on transactions
entered in a recognised stock exchange
1. Name of the assessee :
2. Address of the assessee :
3. Permanent Account Number (PAN) of the assessee :
4. MAPIN of the assessee :
5. Name of the Stock Exchange in which transaction
entered into
:
6. Financial year :
7. Name of the stock broker :
8. Address of the stock broker :
9. Stock broker code :
10. Details of value of securities transactions and securities transaction tax collected from the assessee:
Client code
number
Code of
transaction
Value of
transactions
entered into during
the financial year
Total securities
transaction tax
collected from the
assessee during the
financial year
Value of transactions
(included in value
given in column 3)
entered into in the
course of business by
the assessee
Securities
transaction tax
collected on
value of
transactions
given in column
5
1 2 3 4 5 6
01
02
03
04
05
Total
Verification
I, _____________________ (full name in block letters), son/daughter of __________________ solemnly declare that to the best of my knowledge and belief the information given in this Form is correct and complete and that the total amount of securities transaction tax shown therein is truly stated and is in accordance with the provisions of Chapter VII of the Finance (No. 2) Act, 2004 and Securities Transaction Tax Rules, 2004.
Date _______________
Place _______________ (Name and Signature of the
assessee)

CODES IN RESPECT OF TAXABLE SECURITIES TRANSACTION
S.No. Nature of Transaction Code
1. Purchase of an equity share in a company or a unit of an
equity oriented fund, where—
01
(a) the transaction of such purchase is entered into in a
recognised stock exchange; and
(b) the contract for the purchase of such share or unit is
settled by the actual delivery or transfer of such share or unit.
2. Sale of an equity share in a company or a unit of an equity
oriented fund, where—
02
(a) the transaction of such sale is entered into in a recognised
stock exchange; and
(b) the contract for the sale of such share or unit is settled by
the actual delivery or transfer of such share or unit.
3. Sale of an equity share in a company or a unit of an equity
oriented fund, where—
03
(a) the transaction of such sale is entered into in a recognised
stock exchange; and
(b) the contract for the sale of such share or unit is settled
otherwise than by the actual delivery or transfer of such
share or unit.
4. Sale of a derivative being “option in securities”, where the
transaction of such sale is entered into in a recognised stock
exchange.
04
5. Sale of a derivative being “futures”, where the transaction of
such sale is entered into in a recognised stock exchange.
05
Instructions :
(i) Where an assessee has entered into transactions in a stock exchange under different client code through the same stock broker, details in this Form be filled separately for each such client code.
(ii) Separate Form be furnished in respect of transactions entered into in different stock exchanges and also for the transactions entered in same stock exchange through different stock brokers.
(iii) In column 4 of Table of item 10, fill the details of securities transaction tax collected by the stock broker from the assessee.
(iv) Where the assessee entering into a transaction is a stock broker on which securities transaction tax has to be paid by him, item 1 and item 7 shall be same and such assessee shall, in column 4 of the Table of item 10, fill the details of securities transaction tax collected from him by the stock exchange.