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    Life Insurance Premium Receipt Parent_SK_2022_23

    Uploaded by

    shiva564

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Life Insurance Premium Receipt Parent_SK_2022_23

    Uploaded by

    shiva564
    4 views1 page

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    4 views1 page

    Life Insurance Premium Receipt Parent_SK_2022_23

    Uploaded by

    shiva564

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Date: 13-June-2022

    Receipt No.: 139684310 JUN202201

    Life Insurance Premium Receipt


    Duration For Which the Premium is Received: 12-June-2022 to 11-June-2023
    Personal Details
    Policy Number: 1396843101134 Current residential state: ANDHRA PRADESH
    Policyholder Name: MR. SHIVAPPA KURUVA Mobile No. 8459200523
    Commuinication Address: HNO. 5-93 KOTHIRALLA Landline no. Please inform us for regular updates
    MUTTUKURU PO Life Insured Name: MR.LAKSHMANNA KURUVA
    PATHIKONDA PAN Number: FATPS9416L
    KURNOOL
    KURNOOL - 518380
    Email ID: SHIVA564.K@GMAIL.COM
    Policy Details
    Plan Name: Max Life Online Term Plan PlusMax Life Waiver Of Premium Plus Rider CO - 104N092V02
    Policy Term 20 Years Premium Payment Frequency Yearly
    Date of Commencement 12-JUN-2017 Date of Maturity 12-JUN-2037
    Last Premium Due Date 12-JUN-2022 Next Due Date 12-JUN-2023
    Reinstatement Interest (incl. GST) 0.00 Model Premium (incl. GST) 50,344.60
    Total Premium Received (incl. GST)* 50,344.60 Total Sum Assured of base plan and term 10,00,00,000.00
    rider (if any)
    Agent's Name Coverfox Insurance Brokin Agent's Contact No.
    18002005522
    Head Office

    GST Details
    Coverage Type SAC Code GST (INR) GSTIN 27AACCM3201E1Z3
    Base 997132 9,062.02 GST Regd. State Maharashtra
    Rider 997132 10.28 Affix
    Reinstatement Interest 0.00 Re1
    revenue
    Total 9072.30 stamp

    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 Invoice.Assessable
    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

    PRM20

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