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Form-27D

This document is a Certificate under section 206C of the Income-tax Act, 1961, for tax collected at source. It includes details of the collector and collectee, amounts received, tax collected, and deposited with the Central Government. The certificate must be verified and signed by the responsible person, ensuring the accuracy of the information provided.

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Pravinkumar SK
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19 views

Form-27D

This document is a Certificate under section 206C of the Income-tax Act, 1961, for tax collected at source. It includes details of the collector and collectee, amounts received, tax collected, and deposited with the Central Government. The certificate must be verified and signed by the responsible person, ensuring the accuracy of the information provided.

Uploaded by

Pravinkumar SK
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM NO.

27D
[See rule 37D]
Certificate under section 206C of the Income-tax Act, 1961 for tax collected at source

Certificate No. Last updated on

Name and address of the Collector Name and address of the Collectee

PAN of the Collectee Reference


PAN of the Collector TAN of the Collector Collectee No. provided by the
Collector (if any)

Period
CIT (TDS) Assessment Year
Address……………………………………………………… From To
……………………………………………………………….
City…………………………….Pin code…………………..,

Summary of receipt
Date of receipt/debit
Sl. No. Amount received/debited Nature of receipt (dd/mm/yyyy)

Total (Rs.)

Summary of tax collected at source in respect of the collectee


Quarter Receipt Numbers of original quarterly Amount of tax collected in Amount of tax deposited/remitted in
statements of TCS under proviso t o respect of collectee respect of collectee
sub-section (3) of section 206C (Rs.)
(Rs.)

I. DETAILS OF TAX COLLECTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT


THROUGH BOOK ADJUSTMENT
(The collector to provide payment wise details of tax collected and deposited with respect to the collectee)
Sl. No. Tax deposited in Book Identification Number (BIN)
respect of the collectee
( Rs. ) Receipt numbers of DDO Serial Number in Form Date of Status of
Form No.24G No.24G Transfer Matching with
voucher Form No.24G
(dd/mm/yyyy)

Total (Rs.)
II. DETAILS OF TAX COLLECTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The collector to provide payment wise details of tax collected and deposited with respect to the collectee)

Sl. No. Tax deposited in Challan Identification Number (CIN)


respect of the collectee
( Rs. ) BSR Code of the Bank Date on which tax deposited Challan Serial Status of matching
Branch (dd/mm/yyyy) Number with OLTAS

Total ( Rs. )

Verification

I,…………….., son/daughter of ………….working in the capacity of ……. (designation) do hereby certify that a sum of Rs. ………….. [Rs. ………….(in
words)] has been collected and deposited to the credit of the Central Government. I f urther certify that the information given above is tr ue, complete
and correct and is based on the books of account, documents, TCS statements, TCS deposited and other available records.

Place
Date (Signature of person responsible for collection of tax)
Designation: Full Name:
Notes:

1. Government collectors to fill information in ite m I if tax is paid without production of an income-tax challan and in item II if tax is paid acco mpanied by an
income-tax challan.
2. Non-Government collectors to fill information in item II.
3. The collector shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TCS statements of the assessee.
4. In items I and II, in column for tax deposited in respect of collectee, furnish total amount of TCS, surcharge (if applicable) and education cess (if applicable).

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