{AJAXCONTENT}
Form No 27B
  Form for furnishing information with the statement of collection of tax at source filed on computer media for the period
ending (dd/mm/yyyy)*
1.  (a)Tax Deduction Account No.*
    (b) Permanent Account No.*
    (c) Financial year.*
    (d) Assessment year.*
    (d) Previous receipt number.*
        (In case return has been filed earlier).*
2.  Particulars of the collector.*
    (a) Name.*
    (b) Branch/division(if any).*
    (c)Address.*
       Flat no.*
       Name of the premises/building.*
       Road/street/lane.*
       Area/location.*
       Town/city/district.*
       State.*


      Pincode.*
      Telephone no.*
        E-mail.*
Form No 27B
3.  Name of the the person responsible for collection of tax.*
    (a) Name.*
    (b) Branch/division(if any).*
    (c)Address.*
       Flat no.*
       Name of the premises/building.*
       Road/street/lane.*
       Area/location.*
       Town/city/district.*
       State.*


        Pincode.*
        Telephone no.*
        E-mail.*
4.  Control totals.*
Sr. No. No. of deducted/ party records Amount paid Rs. Tax deducted/collection Rs. Tax deposited (Total challan amount) Rs.
 
Total:
Form No 27B
5.Total Number Of Annexures enclosed.
6.Other Information.

Verification
I,, hereby certify that all the particulars furnished above are correct and complete.
Place:*
Date:*
Name of designation of person responsible for deducting/collecting tax at source.*
Signature of person responsible for deducting/collecting tax at source.*