Form No 26AS

[See section 203AA and second proviso to section 206C(5) and rule 31AB]
Annual Tax Statement under section 203AA
Permanent Account No.*
Name of the assessee: *
Address of the assessee:*
Financial year:*
Assessment year*
PAN:*
Financial year:*
Assessment year*
Details of tax deducted at source:*

Sr. No.	Name of the deductor	TAN of the deductor	Section under which deduction made	Date of Payment/Credit	Amount paid/Credited	Tax deducted (TDS+Surcharge+Education Cess)Rs.	TDS deposited Rs.
(501)	(502)	(503)	(504)	(505)	(506)	(507)	(506)









Total:

Form No 26AS

Details of tax collected at source:*

Sr. No.	Name of the seller	TAN of the seller	Section under which deduction made	Date on which amount paid/debited	Amount paid/debited	Amount of tax collected(TCS+Surcharge+Education Cess)Rs.	TCS deposited Rs.
(509)	(510)	(511)	(512)	(513)	(514)	(515)	(516)

PAN:*
Financial year:*
Assessment year*

Form No 26AS

Details of tax collected at source:*

Sr. No	Major Head code Rs 403+404+405+406+407)	Minor Head code	Tax Rs.	Surcharge Rs.	Education Cess Rs.	Interest Rs.	Others Rs.	Total Tax Rs.	BSR code	Date on which tax deposited	Challan Serial No. Rs.
(517)	(518)	(519)	(520)	(521)	(522)	(523)	(524)	(525)	(526)	(527)	(528)

Date:*

This statement is issued on behalf of the Income-tax Department. The details of tax indicated above are based on the data submitted by deductors/sellers and confirmation
from banks that the taxes have been received.

This statement does not include payments pertaining to assessment year other than mentioned above, and payments against penalties