RENEWAL LIFE INSURANCE PREMIUM RECEIPT

Insured Name

: THELU MOHAN PURUSHOTTAM ADITYA

Policy No

: C320284551

Policyowner

: THELU NOOKA RAJU

Receipt Date

: 2016/02/15

Agent/Broker Code

: 001144966

Agent/Broker Name : TATA AIA Vizag UM

: VS02

Office Code

Payment Mode

Payment Method

Annual

Cash/Cheque

Modal Premium

Service Tax*

Amount Due

` 7,496.00

` 136.00

` 7,632.00

Premium due Period

Basic Plan Name

Tata AIA Life MahaLife (110N024V01)

Temporary Receipt No

Date

V0266602

2016/01/18

From 2016/02/14 to 2017/02/14

Amount Received
` 7,632.00

Amount `
`

7,632.00

Excess as on date (if any) : ` 0.00

Next Premium Due on : 2017/02/14

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 2015/1637/PR.KR.539/M-1-03/09/2015 vide receipt No. MH002350286201516M dated 17-Jul-15

Tata AIG Life Insurance Company Ltd. (Reg. No. 110)

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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Tata AIA Life Insurance Company Ltd. (IRDA of India Regn. No. 110) (CIN U66010MH2000PLC128403)

Regd./Corporate Office : Delphi-B Wing, 2nd Floor, Orchard Avenue, Hiranandani Business Park, Powai, Mumbai - 400 076
For more
call the
AIG
Toll-free
24-hourBusiness
HelplinePark,
at 1-800-119966
or You
can
also Parel,
SMS SERVICE
to 58888.
Registered
& information,
Corporate Office:
14thTata
Floor,
Tower
A, Peninsula
Senapati Bapat
Marg,
Lower
Mumbai 400013.
For can
more
information,
contactinformation
your advisoron
ore-mail.
call on We
our urge
Helpline
1 800 267
9966
(tollidfree)
1 writing
860 266in
9966
(local charges apply)
You
now
get your policy
youNos
to register
your
e-mail
withorusatby
to customercare@tata-aig.com
or SMS Service to 58888 or e mail us at customercare@tataaia.com or visit our website: www.tataaia.com

C320284551

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