FORM NO. 27 A
Form for Infurnising information with the return or statement of deduction of tax at source filed on
Computer media for the period
(From 01/01/2013 To 31/03/2013)
(a) Tex Deducation Account No.
(b) Permanent Account No
(c) Form No.
 
(d) Financial Year
(e) Assessment Year
(f) Previous receipt number
2 Particular of the deductor   3 Name of the person responsible for deduction of tax
(a) Name
(b) Type of deductor  
(c) Branch/Divison  
(d) Address  
Flat No.
Name of The premises/building
Road/Street/Lane
Area/Location
Town/City/District
State  
Pin Code
Telephone No.  
E-mail
 
(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 Records Amount Paid Tax Deducted Tax Deducted
Total        
5 Total Number of Annexures enclosed    
6 Other Information    

Verification

I,SRI CHANDRA PRAKASH , certify that all particular furnished above are correct and complete
Place :LUCKNOW   Signatute of person responsible for deduction tax at source Name and designation of person
Date : 29/08/2013   responsible for deducting tax at source SRI CHANRA PRAKASH (SP)