PREMIUM RECEIPT
Date : 03-Jun-2025
Personal Details
Plan Name: Tata AIA Life Insurance Smart Sampoorna Raksha
Policy Number: U203869019
(110L156V02)
Policy Owner Name: PATIL AWADHOOT K Life Assured Name: PATIL AWADHOOT K
PAN: AVGPP3808E NEFT: Updated
Email: [email protected] Contact Number: 7507085050
Agent Name: PRADEEP NARAYAN RAUT Agent Contact Number:
Policy Details
Premium Amount Due: ` 49,871.00,
Next Premium Due: 03-06-2026
Payment Mode: Annual
Goods and Service Tax (GST): ` 1,679.00 Excess Amount*: ` 0.00
Total Amount Due: ` 51,550.00 1 Original
Sum assured/Life Cover : ` 4,500,000.00
Amount Received: ` 51,550.00 2 Enhanced Sum Assured : ` 0.00
1Original Sum Assured/Life cover includes Base Cover and Term Booster rider and does not include other stand-alone rider sum assured.
2Enhanced Sum Assured is applicable for certain products. Kindly refer your policy terms and condi ons.
Please note that it is mandatory under the Regula ons to keep the Mobile No, Email Id, Nomina on, PAN, Bank Account Details and
Address updated in your policy(s) at all me. Click below to Login in My Digi Account and update the details.
Upda ng of the above-men oned details in your policy(s) will ensure you con nue to receive uninterrupted benefits under the policy.
We therefore request you by keeping your informa on up to date so we can con nue to serve you efficiently and securely.
Tax Benefit Details
Tax Applicable under Sec 80 C Tax Applicable under Sec 80 CCC Tax Applicable under Sec 80 D
` 48,629.00 ` 0.00 ` 2,921.00
Payment Details
Receipt Number Receipt Date Amount Payment Method
OF0479345 02-Jun-2025 ` 51,550.00
Please Note:
⦁ This document can be used as proof for claiming deduction while filing your tax returns and tax benefits would be applicable as
per the prevailing tax laws.
⦁ Payment which have been made other than cash are subject to clearance including through electronic mode payments.
⦁ Any excess premium will be adjusted towards premium due in the current financial year or due in the next three months,
whichever is later. Else premium will be auto refunded post 15 days.
⦁ Applicable govt taxes, surcharge, cess including GST would be charged in accordance to applicable laws and company will have the
right to recover the same from the policy holder.
⦁ Please refer policy document for detailed terms and conditions.
GST Details
Base Premium Taxable Value SGST/UTGST 0.00% CGST 0.00% IGST 18.00% Reverse Charge
` 49,871.00 ` 9,330.00 ` 0.00 ` 0.00 ` 1,679.00 N
Tata AIA Life Insurance State MAHARASHTRA Tata AIA Life Insurance GST IN 27AABCT3784C1ZD SAC Description Life Insuarance
Policy Owner’s GST State MAHARASHTRA Policy Owner’s GSTIN NOT REGISTERED SAC Code 997132
Consolidated Revenue stamp duty paid: No fica on No. Mudrank – LOA/ENF-1/CSD/18/2025/786 (Validity period from dated 24- 02-
2025 to 25-02-2026) Dated 18-02- 2025 vide receipt number MH015614671202425E dated on 06-02-2025.
*Excess Amount is balance available with us after adjusting for outstanding premium and late payment fee (if any).
L&C/Misc/2024/Apr/0256
BEWARE OF SPURIOUS PHONE CALLS AND IRDAI or its officials do not involve in activities like selling insurance policies, announcing bonus or investment of
FICTITIOUS / FRAUDULENT OFFERS premiums. Public receiving such phone calls are requested to lodge a police complaint
