Form 27Q:Quarterly statement of deduction of tax under Sub-Sec(3) of Sec 200 in respect of payments other than salary made to non-residents for the quarter ended

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Form No.27Q
[See section 194E, 194LB, 194LC, 195, 196A ,196B, 196C, 196D, and rule 31A ]
Quarterly statement of deduction of tax under sub‐section (3) of section 200 of the Income‐tax Act in respect of payments other than salary made to non‐residents for the quarter ended …………………………..
(June/September/December/March)………………(Financial Year)

1. (a) Tax Deduction and Collection Account Number (TAN)
(b) Permanent Account Number (PAN) [See Note 1]
(c) Financial Year (f) Type of Deductor (See Note 2)
(d) Has the statement been filed earlier for this quarter (Yes/No)
(e) If answer to (d) is "Yes", then Token No. of original statement

2. Particulars of the Deductor
(a) Name of the deductor
(b) If Central/State Government Name (See Note 3)
AIN Code of PAO/TO/CDDO
(c) TAN Registration No.
(d) Address
Flat No.
Name of the premises/building
Road/Street/Lane
Area/Location
Town/City/District
State
PIN Code
Telephone No.
Alternate telephone No.(See Note 4)
Email
Alternate email (See Note 4)
3. Particulars of the person responsible for deduction of tax:
(a) Name
(b) Address
Flat No.
Name of the premises/building
Road/Street/Lane
Area/Location
Town/City/District
State
PIN Code
Telephone No.
Alternate telephone No.(See Note 4)
Email
Alternate email (See Note 4)
Mobile No.