Certificate under section 395(4) for tax deducted at source other than on salary paid to an employee under section 392 or pension or interest income of specified senior citizen under section 393(1) [Table: Sl. No. 8(iii)]

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.... under section 392 or pension or interest income of specified senior citizen under section 393(1) [Table: Sl. No. 8(iii)] Certificate No. Last updated on Row No. PART A: Details of the deductor 1. Name (refer Note 1) 2. Address (refer Note2) 3. Permanent Account Number   4. Tax Deduction and Collection Account Number   5. Email id ....

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....ils 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) Sl. No. Tax deposited (refer Note 5) Book Identification Number (BIN) Receipt numbers of Form No. 137 DDO serial number in Form No. 137 Date of Transfer voucher (dd/mm/yyyy) ....

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....bsp;                 DECLARATION I, ................., (name of person responsible for deduction of tax) ............. having Permanent Account Number ...... working in the capacity as ....... (designation) of .......... (name of the deductor) do hereby certify that a sum of Rs. .............. [Rs. ............ (in words....