Form 26B:Form to be filed by the deductor,if he claims refund of sum paid under Chapter XVII-B

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FORM NO. 26B
[See rule 31A(3A)]
Form to be filed by the deductor, if he claims refund of sum paid under Chapter
XVII-B of the Income-tax Act, 1961

Name and address of the Bank Account Number
deductor MICR Code
Tax Deduction and Collection
Account Number (TAN)
Type of account (as applicable)
I. Details of sum paid in the Central Government account through
challans out of which refund is being claimed.
II. Detail of sum paid under Chapter XVII-B by the deductor for which credit has been claimed in the statement furnished under sub-section (3) of section 200 or the proviso to sub-section (3) of section 206C (out of amount mentioned in column 3 below).
Challan Identification number (CIN)
(2)
Sl.
No
(1) BSR Code of the Bank Branch
Date on which tax
deposited (dd/mm/yyyy)
Challan Serial
Number
Amount
(3) F.Y.
(4) Period
(5) Form No. of Statement in which tax credit claimed
(6) Receipt number of relevant statement
(7) Amount of credit claimed (Rs.)
(8) Amount of refund claimed (Rs.)
(9)
1
2
Total (Rs.) Total (Rs.)
(g) for Form No.26Q, the following Form shall be substituted, namely :—
Verification
I, _______________________________ son/daughter of __________________________________working in the capacity of _______________________________________
________________________________________________(designation) do hereby certify that a total sum of rupees_____________________________________(in words)
[mentioned in column (9) above] has been deducted and deposited to the credit of the Central Government and the same has not been claimed and shall not be claimed in any
of the statement to be furnished under sub-section (3) of section 200 or the proviso to sub-section (3) of section 206C. This is also to certify that there is no demand outstanding
under the provisions of Chapter XVII-B or Chapter XVII-BB of Income-tax Act, 1961. I further certify that the information given above is true, complete and correct and is
based on the books of account, documents, relevant statements, tax deposited and other available records.
Place
Date (Signature of person responsible for deduction of tax)
Full Name:- _______________________________.”;