Form for furnishing information with the statement of deduction/collection of tax at source (tick whichever is applicable) filed on computer media for the period (From.to..(dd/mm/yyyy)
Printed from www.taxmann.com FORM NO. 27A Form for furnishing information with the statement of deduction/collection of tax at source (tick whichever is applicable) filed on computer media for the period (From _______ to ______ (dd/mm/yyyy)# 1. (a) Tax Deduction Account No. (b) Permanent Account No. (c) Form No. (d) Financial Year (e) Assessment year (f) Previous receipt number (in case return/statement has been filed earlier) 2. Particulars of deductor/collector (a) Name (b) Type of deductor* (c) Branch/division (if any) (d) Address Flat No. Name of the premises/building Road/street/lane Area/location Town/City/District State Pin code Telephone No. E-mail Printed from www.taxmann.com 3. Name of the person responsible for deduction/collection of tax (a) Name (b) Address Flat No. Name of the premises/building Road/street/lane Area/location Town/City/District State Pin code Telephone No. E-mail 4. Control totals Sr. No. No. of deductee/ party records Amount paid Rs. Tax deducted/collection Rs. Tax deposited (Total challan amount) Rs. Total 5. Total Number of Annexures enclosed 6. Other Information Verification Printed from www.taxmann.com I, _______________________________ , hereby certify that all the particulars furnished above are correct and complete. Place: ____________ Signature of person responsible for deducting/collecting tax at source Date : ____________ Name of designation of person responsible for deducting/collecting tax at source *Mention type of deductor - Government or Others #dd/mm/yyyy :-date/month/year
