TDS FORM NO. 26Q
(See section 206C and rule 31A)

Quarterly statement of deduction of tax under sub-section(3) of section 200 of the Income-tax Act, 1961 in respect of payments other than salary for the quarter ended June/September/December/March(tick whichever applicable) (dd/mm/yyyy)

1. (a)Tax Deduction Account No.*
(b) Permanent Account No.*
(c) Financial Year*
(d) Assessment Year*
(e)Has any statement been filed earlier for this quarter(Yes/No)*
(f) If answer of(e) is 'Yes', then Provisional Receipt No. of original statement*
2. Particulars of deductor:*
(a) Name.*
(b) Type of deductor.*
(c) Branch/division (if any).*
(d) Address.*
Flat No.*
Name of the premises/building.*
Road/street/lane.*
Area/location.*
Town/City/District.*
State.*
Pin code.*
Telephone No.*
E-mail.*
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.*
E-mail.*

4.Details of tax deducted and paid to the credit of Central Government*

Sr. No	Section Code	TDS Rs.	Surcharge Rs..	Education Cess Rs.	Interest Rs.	Others Rs.
(401)	(402)	(403)	(404)	(406)	(406)	(407)

Sr. No	Total tax deposited Rs. (403+404+405+ 406+407)	Cheque/DD No.(if any)	BSR Code	Date on which tax deposited	Transfer voucher/ Challan Serial No.2	Whether Tds deposited by book entry?Yes/No3
(401)	(408)	(409)	(410)	(411)	(412)	(413)

5. Details of amounts paid and tax deducted thereon from deductees*
I,, hereby certify that all the particulars furnished above are correct and complete.
Place:*
Signature of the person responsible for deducting tax at source:*
Date:
Name and designation of person responsible for deducting tax at source:*

BSR code of branch where tax is deposited_
Date on which tax deposited (dd-mm-yyyy)
Challan Serial No.
Collection Code under which payment mode1
Total TCS to be allocated among parties as in the vertical total of col. 425
Interest
Others
Total of the above

Name of Collector
TAN

Sr. No	Deductee code (01-company02-otherthan company)	Unique Transaction Number UTN	PAN of the dedutee	Name of the deductee	Date of payment/credit	Amount paid/credited Rs.	Paid by bookentry or otherwise Rs.	TDS Rs.	Surcharge Rs.	Education Cess Rs.	Total tax deducted (421+422+423) Rs.	Total tax deposited Rs.	Date of deduction	Rate at which deducted	Reason for non-deduction/lower-deduction
(414)	(415)	(416)	(417)	(418)	(419)	(420)	(421)	(422)	(423)	(424)	(425)	(426)	(427)	(428)	(429)