Form 27D:Certificate under Sec 206C for tax collected at source

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Documents: 

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 Collector
TAN of the Collector
PAN of the Collectee
Collectee Reference No. provided by the Collector (if any)
Assessment Year
Period
From To
CIT (TDS)
Address………………………………………………………
……………………………………………………………….
City…………………………….Pin code…………………..,
Summary of receipt
Sl. No. Amount received/debited Nature of receipt Date of receipt/debit
(dd/mm/yyyy)
Total (Rs.)
Summary of tax collected at source in respect of the collectee
Quarter Receipt Numbers of original quarterly
statements of TCS under proviso to
sub-section (3) of section 206C
Amount of tax collected in
respect of collectee
(Rs.)
Amount of tax deposited/remitted in
respect of collectee
(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
Form No.24G
DDO Serial Number in Form
No.24G
Date of
Transfer
voucher
(dd/mm/yyyy)
Status of
Matching with
From No.24G
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
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 collected 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, 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 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 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).”;