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Quarterly statement of Tax Collection at Source under section 206C of Income-tax Act, 1961 for the quarter ended June / September / December / March (Tick whichever is applicable) ..... (year)

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....te 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 collection 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.   4. Details of tax collected at source and paid to the credit of the Central Government: Sl. No. Tax Surcharge 4[Health and Education Cess] Interest Fee (See Note 5) Penalty/ Others Total amount deposited as per challan/ Book Adjustment (652 +653 +654 +655 +656 +657) (See Note 6) Mode of deposit through Challan (C)/ Book Adjustment (B) (....

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....ite the exact amount deposited through challan. 7. In column 659, Government collectors to write 'B' where TCS is remitted to the credit of Central Government through book adjustment. Other collectors to write "C". 8. Challan/ Transfer Voucher (CIN/BIN) particulars, i.e. 660, 661, 662 should be exactly the same as available at Tax Information Network. 9. In Column 663, mention minor head as marked on the challan. 5[ANNEXURE -: PARTY WISE BREAK UP OF TCS (Please use separate Annexure for each-line item in Table at Sl. No. 04 of main Form 27EQ) Details of amount received/debited during the quarter ended (dd/mm/yyyy) and of tax collected at source Name of the Collector   TAN     BSR Code of branch/Receipt Number of Form No. 24G   Date on which challan deposited/Transfer voucher date (dd/mm/yyyy)   Challan Serial Number/DDO Serial No. of Form No. 24G   Amount as per Challan   Total TCS to be allocated among collectees as in the vertical total of Col. 677   Total interest to be allocated among the collectees mentioned below     Sl. No. Collec tee refere nce numbe r provid ed by the ....

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....gnation of the person responsible for collecting tax at source  .............. Place: ....................... Date: ....................... Notes: 1. Write "A" if "lower collection" is on account of a certificate under sub-section (9) of section 206C. 2. Write "B" if "non-collection" is on account of furnishing of declaration under sub-section (1A) of section 206C. 3. Write "C" if collection is at higher rate under section 206CC  on account of non-furnishing of PAN/Aadhaar by the collectee 4. Write "D" if no collection is on account of the first proviso to sub-section (1G) of section 206C. 5. Write "E" if no collection is on account of the fourth proviso to sub-section (1G) of section 206C. 6. Write "F" if no collection is on account clause (i) or clause (ii) of the fifth proviso to sub-section (1G) or in view of notification issued under the clause (ii). 7. Write "G" if no collection is on account of the second proviso to sub-section (IH) of section 206C. 8. Write "H" if no collection is on account of sub-clause (A) or sub-clause (B) or sub-clause (C), or in view of notification issued under sub-clause (C), of clause (a) of the Explanation ....

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....e on sale of bag such as handbag, purse 6C MF 206C Collection at source on sale of pair of shoes 6C MG 206C Collection at source on sale of sportswear and equipment such as golf kit, ski-wear 6C MH 206C Collection at source on sale of home theatre system 6C MI 206C Collection at source on sale of horse for horse racing in race clubs and horse for polo 6C MJ] 206C Collection at source for purchase of overseas tour program package 6C O 206C Collection at source on remittance under LRS from educational loan taken from financial institution mentioned in section 80E 6C P 206C Collection at source on remittance under LRS except for the purposes of education or medical treatment 6C Q 206C Collection at source on remittance under LRS is for the purposes of education or medical treatment and not covered under Code P 6C T 206C Collection at source on sale of goods 6C R]   (Substituted vide Notification NO. 11/2013 dated 19.2.2013) FORM NO. 27EQ [See section 206C and rule 31AA] Quarterly statement of Tax Collection at Source under section 206C of Income-tax Act, 1961 for the quarter ended J....

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....nbsp;     Surcharge Education Cess Total tax collected [673+ 674+ 675] Total tax deposited Date of collection (dd/mm/yyyy) Rate at which collected Reason for non-collection/ lower collection/ or collection at higher rate (See Note 1 to 9) Number of the certificate u/s 206C issued by the Assessing Officer for lower collection of tax Whether the payment by collectee is liable to TDS as per clause (a) of the fifth proviso to sub-section (1G or second proviso to sub-section (1H) and whether TDS has been deducted from such payment (if either "F" or "G" is selected in 680) If, answer to [681A] is yes, then Challan number Date of Payment of TDS to Central Government [674] [675] [676] [677] [678] [679] [680] [681] [681A] [681B] [681C]                                                                                         _______________________ Verification I, ..........................., here....