Sample Filled Form 15G for PF Withdrawal in 2021

Form 15G is a self-declaration to declare that the total income in a financial year is less than the income tax slab limit. It should be filled by the citizens of India whose age is ≤ 60 years. If the age is above 60 years then they have to submit form 15 H in place of form 15G. By submitting form 15G we can avoid TDS on PF withdrawals and fixed deposit interest

When it comes to PF withdrawal if the total PF amount ( employee + employer share) is above 50,000 Rs and the total service is below 5 yrs then that EPF member should submit form 15G along with PF claim form 19.

If EPF members fail to submit Form 15G then 34.6% tax will deduct from their PF claim amount (or) sometimes EPF officials will reject the EPF claim.

EPF members whose age is below 60 years need to submit Form 15G and for above 60 years form 15H is required.

Form 15G is not required If your PF amount is less than 50,000 Rs (or) the total service is above 5 years.

Tax on PF Withdrawal

If the employee submits both PAN and 15GNo tax deduction
If the employee submits only PANTDS 10%
If the employee doesn’t submit PAN alsoTDS 34.6%

EPFO Circular on TDS Deduction

Download in PDF Format

Form 15G Filled Sample for PF Withdrawal in 2021

Form 15G consists Two parts, we need to fill only part 1 of form 15G there is no need to fill part 2 of form 15G, just leave that page blank.

Here is an example of a sample filled form 15G part 1 and part 2, which will guide you on how to fill form 15G correctly for PF claim…

Sample Filled Form 15G Part 1

sample filled form 15G for PF withdrawal.

Sample Filled Form 15G Part 2

How to Fill Form 15G for PF Withdrawal in 2021

Field 1 (name of the assessee): Name of the person who is withdrawing PF amount.

Field 2 (PAN of the assessee): PAN number of the person withdrawing PF.

Field 3 (Status): Individual

Field 4 (Previous Year): 2021- 22

Field 5(Residential status): Indian

Fields 6 to 14: Address, mobile number and email id of the person claiming PF.

Field 15: If you filed any IT returns then tick Yes, otherwise tick No. If you tick Yes then mention the assessment year. (Assessment year is the year followed by the financial for which you paid income tax).

Field 16 (Estimated income): PF amount ( employee and employer contribution), not pension amount.

Field 17 (Estimated total income): Mention your estimated annual income and PF amount together. For example, if you mentioned 60000 Rs in field 16 and your annual estimated income is 1,00,000 Rs then mention 1,60,000 Rs

Field 18: If any form 15Gs submitted earlier then mention those details, otherwise leave this field blank.

Field 19: Write your UAN, PF number, and section as 192 (A).

Previous year ending on : 31 March 2022

Assessment year : 2022 – 23

(Previous year and assessment year change every year, if you are withdrawing PF amount in between 1 April 2021 to 31 March 2022 then mention the above details). The changes will be updated every year here.

Form 15G Part 2: You don’t need to fill part 2 of form 15G, it will be filled by the EPF officers. But you have to upload the blank copy of form 15G part 2 while claiming for PF using form 19 at the UAN member portal.

Difference Between Form 15G and Form 15H

  1. Form 15G will be submitted by the resident individuals whose age is below 60 years and their taxable income should be less than 2,50,000 Rs for Fy 2020-21.
  2. Form 15H will be submitted by the resident individuals whose age is 60 or above 60 along with below income tax slab criteria
  • For senior citizens, the annual income should be less than 3 lakhs, and for super senior citizens of age above 80 yrs, the annual income should be less than 5 lakhs.
  • Income from fixed deposit interests and post office deposit interests should be less than 50,000 Rs.

Form 15H Filled Sample for PF Withdrawal in 2021 – 22 ( If Age is Above 60 Years)

Filled Form 15H Part 1

Filled PF Form 15H for PF withdrawal part 1

Filled Form 15 H Part 2

Filled PF Form 15H for PF withdrawal part 2

How To Submit Form 15G & 15H Online For PF Withdrawal

Now EPF members can upload form 15G and form 15H online at the UAN member portal while applying for the PF claim. Here is the step by step process on uploading form 15G and 15H for online PF claims.

Step 1: EPF members who select form 19 i.e PF amount withdrawal in the UAN member portal will get an option to upload form 15G. You don’t need to submit form 15G for pension amount withdrawal i.e form 10C amount.

how to submit form 15g for online pf withdrawal

Step 2: To upload form 15G in the member portal, first, download form 15G in this post and fill it with blue or black ball pen and scan it and save the document in PDF format, and size should be less than 1 MB. Now upload this form 15G in the UAN member portal.

But remember to upload form 15G your PAN number must be linked with your UAN number otherwise UAN portal will not accept the form 15G and you will get the following message that “Verified PAN not available cannot upload form 15G”.

In this case, you need to submit 2 copies of form 15G and 1 copy of your PAN card to your regional EPF office, within 1 or 2 days after applying for the online claim, then no tax will deduct from your PF claim amount.

Form 15G for PF Withdrawal FAQs

# Is form 15G mandatory for PF withdrawal?

If your total PF amount is 50,000 Rs or above and your service is below 5 years then only you need to submit form 15G, otherwise you don’t need submit form 15G.

If you don’t submit form 15G eligible case, then EPFO will reject your PF claim and ask you to reclaim your PF along with form 15G. But in very rare cases your claim will be settled with tax deduction.

# What is estimated income on form 15G

While filling form 15G in field numbers 15 and 16, we will see estimate income details. Estimated income for which this declaration made means the amount which you are withdrawing. You can find the amount on your PF passbook.

In field no 16 you need to mention your estimated annual income . ( You don’t need to mention the exact amount, just mention the estimated amount.)

# Will service period in multiple companies consider for PF Withdrawal

Yes, if employees work in multiple companies and transfer PF contributions every time when they join in a new job then all service periods will be merged. Even though the employees have gaps in their jobs still when they join in a new job and transfer their PF, then their old service period will be merged with the present service period.

# Can I fill form 15G online?

No, you cannot fill form 15 G & 15H online, you have to fill it with ball pen manually, but you can upload copies of form 15G part 1 and part 2 online at UAN member portal.

# Is form 15G required for PF withdrawal after 5 years?

Not required, If you are withdrawing your PF amount after 5 years then you don’t need to submit form 15G even though you are withdrawing above 50000 Rs of PF claim amount.

# Should I submit form 15G for pension form 10C?

No, form 15G is not required for pension withdrawal. You need to submit or upload form 15G only for PF claim amount i.e for form 19 only. For form 10C you don’t’ need to submit form 15G.

162 thoughts on “Sample Filled Form 15G for PF Withdrawal in 2021”

  1. I have submitted form 15G but still I was charged with 10% TDS on my PF withdrawal . How should i get my TDS refunded?

    • Even though your PF account number is old still has UAN, you can convert your old PF to new PF and find your UAN on UAN member portal by using the know your UAN option.
      Know more details about PF number format. here.

  2. Sir ,I am withdrawing pf in april 2021
    So can you please answer my
    previous year (py) ?
    Previous year ending ?
    Assessment year ?

  3. Hi Rajesh-
    I resigned from my company in Dec 2020 and trying to withdraw my PF now. I have worked for 8.5 years but it is still asking me to upload 15G and a blank copy of cheque book. What should i do?
    Also, if I am submitting form 15G, what should i mention in ques# 4 (Previous Year), ques# 15 a and b, ques# 17 and ques# 18 (I do have FDs with other banks and had filled Form 15G there; what details do i need to provide here regarding that?)

    Also, what should i put for Year Ending On and Assessment Year in the Declaration/Verification section?


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