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Max Life Insurance Premium Receipt

This receipt is for the annual life insurance premium payment of Mr. Nitin Shankarao Birari's Max Life Life Gain Plus 20 Participating Plan. It confirms receipt of Rs. 10,129.61 towards the premium due from 30-Nov-2017 to 29-Nov-2018. The policy provides a total sum assured of Rs. 1,08,730 for 20 years until the date of maturity on 30-Nov-2029. The agent for this policy is Mr. Mahendrakumar Jagannath Bhavsar.

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1K views1 page

Max Life Insurance Premium Receipt

This receipt is for the annual life insurance premium payment of Mr. Nitin Shankarao Birari's Max Life Life Gain Plus 20 Participating Plan. It confirms receipt of Rs. 10,129.61 towards the premium due from 30-Nov-2017 to 29-Nov-2018. The policy provides a total sum assured of Rs. 1,08,730 for 20 years until the date of maturity on 30-Nov-2029. The agent for this policy is Mr. Mahendrakumar Jagannath Bhavsar.

Uploaded by

ani d
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Life Insurance Premium Receipt

Date: 05-Dec-2017

Receipt No.: 800844060DEC201701

Life Insurance Premium Receipt


Duration For Which the Premium is Received: 30-NOV-17 to 29-NOV-2018
Personal Details
Policy Number: 800844060 Current residential state: Maharashtra
Policyholder Name: Mr. Nitin Shankarao Birari Mobile No. 9890667797
Commuinication Address: Mornig Star Chouk Landline no. Please inform us for regular updates
Opp Lokmany School Life Insured Name: Mr. Nitin Shankarao Birari
Sangameshwar Mlg PAN Number:
Nashik - 423203
Email ID: Please inform us for regular
updates

Policy Details
Plan Name: Max Life Life Gain Plus 20 Participating Plan - 104N014V01
Policy Term 20 Years Premium Payment Frequency Annual
Date of Commencement 30-NOV-2009 Date of Maturity 30-NOV-2029
Last Premium Due Date 30-NOV-17 Next Due Date 30-NOV-2018
Reinstatement Interest (incl. GST) ` 0.00 Model Premium (incl. GST) ` 10,129.61
Total Premium Received (incl. GST)* ` 10,129.61 Total Sum Assured of base plan and term ` 1,08,730.00
rider (if any)
Agent's Name Mr. Mahendrakumar Agent's Contact No.
9822224354
Jagannath Bhavsar

GST Details
Coverage Type SAC Code GST (INR) GSTIN 27AACCM3201E1Z3
Base 997132 ` 219.40 GST Regd. State Maharashtra
Rider 997132 ` 24.30
Reinstatement Interest ` 0.00
Total ` 243.70

Important Note:
*For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk
commencement starts after acceptance of risk by us. *Amount received would be adjusted against the due premium as per terms and conditions of the policy. *Premium paid would be
eligible for deduction as per the provision of Income Tax Act, 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due to changes in legislation
or government notification. *Applicable Taxes, Cesses and Levies, as per prevailing laws, shall be borne by you. *For GST purposes,this premium receipt is Tax [Link]
Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%; Single Premium Annuity is 10%; Term and Health is 100%. In case of unit linked product GST is applicable
on charges.

Authorised signatory

PRM21 V5.0 14102017 2017-12-[Link].280981

Date: 05-Dec-2017 Receipt No.: 800844060DEC201701 Life Insurance Premium

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