FORM NO. 27B

 FORM NO. 27B 

[See rule 37EA ] 

             Form for furnishing information with the return or statement of deduction of tax at source filed on computer media.  

 DETAILS   OF  THE  PERSON  BEING  A  SELLER,  COLLECTING  THE  TAX 

Tax Deduction Account Number   

Permanent Account Number 

Name and Address of Seller 

Telephone No. 

 Fax No. 

 OTHER  INFORMATION 

[Please give the complete information] 

Return 

Form 

No. 

 Whether existing 

TDS/tax collected 

at source assessee 

(Y - Yes, N - No) 

 A.O. Code 

 Period ending  Assessment Yr.  Periodicity  Media used 

computer media 

enclosed 

for the  return  Total number of 

CONTROL  TOTALS  

S. No.  Control Total required for Form Nos.27EA, 27EB, 27EC and 27ED  Total 

1.  Gross Amount debited to/received from companies     

2.  Gross amount debited to/received from non-companies     

3.  Total amount of tax collected from companies at prescrib ed rates     

4.  Total amount of tax collected from non-companies at prescribed rates     

5.  Total number of persons from whom tax was collected    

I,.....................................................................………….....,certify that all the particulars furnished above are correct and complete.   

................................................................... 

Place : .....................................    

 Name and signature of the person responsible for            

deducting tax at source 

Designation : ...............................................................……  

Date     : ……...………….    

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FORM NO. 27B (English)

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