Printed from www.taxmann.com FORM NO. 27E [See section 206C and rule 37E] Annual return of collection of tax under section 206C of I.T. Act, 1961 in respect of collections for the period ending_____________ 1. Particulars of seller (a) Name of Seller (b) Address Flat/Door/Block No. Name of Premises/Building Road/Street/Lane Area/Locality Town/City/District State PIN (c) TAN (d) PAN 2. Has address of the seller changed1 Tick b as applicable Yes No 3. (a) Please tick the boxes below indicating the collection made during the year from which tax was required to be collected at source by you under the Income-tax Act, 1961. A Alcoholic liquor for human consumption B Timber obtained under a forest lease C Timber obtained by any mode other than under a forest lease D Any other forest produce not being timber or tendu leaves E Scrap F Parking lot G Toll plaza H Mining and quarrying I For Tendu leaves (b) Please furnish information in separate Annexures as per the enclosed proforma for each type of collection indicated in item (a) above 4. Details of tax collected and paid to the credit of the Central Government Printed from www.taxmann.com S. No Collection Code as per Sl. No. 3 above TCS Rs. Surcharge Rs. Education Cess Rs. Interest Rs. Others Rs. (601) (602) (603) (604) (605) (606) (607) (1) (2) (3) (4) (5) (6) (7) S. No Total tax deposited Rs. (3+4+5+6+7) Cheque/DD No. (if any) BSR Code Date on which tax deposited Transfer voucher/Challan serial Number2 Whether TCS deposited by book entry? Yes/No3 (601) (608) (609) (610) (611) (612) (613) (1) (8) (9) (10) (11) (12) (13) VERIFICATION I,______________________________________________, hereby certify that all the particulars furnished above are correct and complete. Place : Signature of the person responsible for collecting tax at source Date : Name and designation of person responsible for collecting tax at source Printed from www.taxmann.com Notes - 1. If address has changed give changed address in column 1(b) 2. Where collection is made by or on behalf of the Government to give particulars of transfer vouchers; other deductors to give particulars of challan No. regarding deposit into bank. 3. Column is relevant only for Government deductors. Annexure Details of purchase price of_______________________________1 debited / received for the period ending____________ and of tax collected at source2 Buyer Code3 Permanent Account Number (PAN) of the person from whom tax collected Name and Address of the person from whom tax collected (address need not be given if PAN is mentioned) Total value of the purchase(s) Amount of payment (Rs.) Date on which amount paid/debited Rate at which tax collected (614) (615) (616) (617) (618) (619) (620) (1) (2) (3) (4) (5) (6) (7) Amount of tax collected (Rs.) Date on which tax collected Bank Branch Code4 Date on which tax paid to the credit of Central Government Challan number given by bank Date of furnishing Tax Collection Certificate Reason for non- collection/ lower collection if any5 (621) (622) (623) (624) (625) (626) (627) (8) (9) (10) (11) (12) (13) (14) Printed from www.taxmann.com Notes:- 1. Please write A Alcoholic liquor for human consumption B Timber obtained under a forest lease C Timber obtained by any mode other than under a forest lease D Any other forest produce not being timber or tendu leaves E Scrap F Parking lot G Toll plaza H Mining and quarrying I For Tendu leaves 2. Please use separate Annexures for each type of collection 3. Please enter Buyer Code 01 for companies 02 for 'other than companies' 4. Where collection is made by or on behalf of the Government, transfer voucher number may be entered in column (10) 5. If necessary, please use additional sheets to give full details of collection in the above format. Please also give running serial number to all pages 6. Write X if lower deduction is as per section 206C(9) Write Y for any other reason give details in separate sheet Signature of person responsible for collecting tax at source Name and designation of person responsible for collecting tax at source
