FORM NO-27Q
[see sections 194E,195,196A*,196B,196C,196D and rule 31A and 37A]
Quarterly statement of deduction of tax under sub-section(3)of section 200 of the I.T.Act, 1961 in respect of payments other than salaries made to non-residents
for the quarter ended March (year)2009
1(a) Tax Deduction Account number :- (d) Assessment Year :-
(b) Permanent Account Number :- (e) Has any statement been filed
earlier for this
quarter(Yes/No):-
(c) Financial year:- (f) If answer of (e)is 'Yes' then
provisional receipt no. of
original statement:-
2. Particulars of the deductor:-
(a)Name:-
(b)Type of Deductor:-
(c)Branch/ division(if any):-
(d)Address:-
Flat/Door/Block No.
Name of Premises/Building
Road/Street/Lane
Area/Locality
Town/City/District
State
Pin Code
E-mail
Tel. No.
3. Particulars of the person responsible for deduction of tax:-
(a)Name:-
(b)Address:-
Flat/Door/Block No.
Name of Premises/Building
Road/Street/Lane
Area/Locality
Town/City/District
State
Pin Code
E-mail
Tel. No.
4. Details of tax deducted and paid to credit to the Central Government:-
Transfer
Date on Whether TDS
Education Total tax Cheque/DD Voucher/Ch
S.No Section Code TDS(Rs.) Surcharge(Rs.) Interest(Rs.) Other(Rs.) BSR Code which tax deposited by book
Cess(Rs.) deposited(Rs.) No. allan Serial
deposited entry? Yes/No
No.
(401) (402) (403) (404) (405) (406) (407) (408) (409) (410) (411) (412) (413)
5. Details of salary paid and tax deducted thereon from the employees(Enclose Annexure,I):-
Verification
I, hereby certify that all the particulars furnished above are correct and complete.
Place Signature of the person responsible for deducting tax at source
Date Name and designation of person responsible for deducting tax at source
ANNEXURE-DEDUCTEE WISE BREAK-UP OF TDS
(Please use separate Annexure for each line-item in the table at S.No.4 of main Form27Q)
Details of amounts paid/credit during the quarter ended 31/03/2009 and of tax deducted at source
BSR Code of the branch where tax is deposited Date on which tax deposited(dd-mm-yy)
Challan Serial No. Section under which payment made
Total TDS to be allocated among deductees as in the
Interest
vertical total of Col.725
Others Total of the above
Name of the deductor TAN
Reason
for non
Deduct Permanent Date of Paid by Total tax Date on Rate at
Amount paid/ Education Total tax deduction
S.No. ee Account Number Name of Deductee payment/ book entry TDS Surcharge deducted which tax which tax
credited(Rs.) cess deposited / lower
code of deductee credit or otherwise (Rs.) deducted deducted
deduction
if any
(714) (715) (716) (717) (718) (719) (720) (721) (722) (723) (724) (725) (726) (727) (728)
Verification
I, hereby certify that all the particulars furnished above are correct and complete.
Place Signature of the person responsible for deducting tax at source
Date Name and designation of person responsible for deducting tax at source
