Sec 203 for tax deducted - Form 16A

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FORM NO.16A
[See rule 31(1)(b)]
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source
Certificate No. Last updated on
Name and address of the Deductor
Name and address of the Deductee
PAN of the Deductor
TAN of the Deductor
PAN of the Deductee
Assessment Year
Period
From To
CIT (TDS)
Address………………………………………………………
……………………………………………………………….
City…………………………….Pin code…………………..,
Summary of payment
Sl. No. Amount paid/credited Nature of payment Deductee Reference No. provided by
the Deductor (if any)
Date of
payment/credit
(dd/mm/yyyy)
Total (Rs.)
Summary of tax deducted at source in respect of Deductee
Quarter
Receipt Numbers of original quarterly
statements of TDS under sub-section (3) of
section 200
Amount of tax deducted in
respect of Deductee Amount of tax deposited/ remitted
in respect of Deductee
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOOK ADJUSTMENT
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Book Identification Number (BIN)
Sl. No.
Tax deposited in
respect of the
deductee
( Rs.)
Receipt numbers of Form
No. 24G
DDO serial number in
Form No.24G
Date of Transfer
voucher (dd/mm/yyyy)
Status of Matching
with Form No.24G
Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Challan Identification Number (CIN)
Sl. No.
Tax deposited in
respect of the
deductee
( Rs.)
BSR Code of the Bank
Branch
Date on which tax
deposited
(dd/mm/yyyy)
Challan Serial
Number
Status of matching
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 deducted and deposited to the credit of the Central Government. I further certify that the information given above is
true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records.
Place
Date
(Signature of person responsible for deduction of tax)
Designation: Full Name:
Notes:
1. Government deductors to fill information in item I if tax is paid without production of an income-tax challan and in item II if tax is paid accompanied by an income-tax challan.
2. Non-Government deductors to fill information in item II.
3. The deductor shall furnish the address of the Commissioner of Income-tax (TDS) having jurisdiction as regards TDS statements of the assessee.
4. In items I and II, in column for tax deposited in respect of deductee, furnish total amount of TDS, surcharge (if applicable) and education cess (if applicable).”;