Annual return of collection of tax under section 206C section of I.T.Act,1961 in respect of collections for the period ending (dd/mm/yyyy)*
1. Particulars of seller*
(a) Name of the seller*
(b)Address.*
Flat no.*
Name of the premises/building.*
Road/street/lane.*
Area/location.*
Town/city/district.*
State.*
Pin.*
(c) TAN*
(d) PAN*
2. Has address of the seller changed Tick as applicable Yes checked > No checked >
3. (a) Please tick the boxes below indicating the collection made during the year from which tax was required to be collected at source by youunder the Income-Tax act,1961
checked > Alcoholic liquor for human consumpion checked > Timber obtained under a forest lease
checked > Timber obtained by any mode other than under a forest lease checked > Any other forest produce not being timber or tendu leaves
checked > Scrap checked > Parking lot
checked > Toll plaza checked > Mining and quarrying checked > For tendu leaves
(b) Please furnish information in seperate Annexures as per the enclosed proforma for each type of collection indicated in item (a) above
4. Details of tax collected and paid to the credit of the central government
Sr. No.
TCSRs.
Surcharge Rs.
Tax deducted/collection Rs.
Education Cess Rs.
Interest Rs.
Others Rs.
601
602
603
604
605
606
607
1
2
3
4
5
6
7
Sr. No.
Total taxdepositedRs.(3+4+5+6+7)
Cheque/DD No.(ifany)
BSR Code
Date on which tax deposited
Transfer Voucher/Challanserial Number
Whether TCS deposited by book entry?Yes/No
601
608
609
610
611
612
613
1
8
9
10
11
12
13
VERIFICATION
I,, hereby certify that all the particulars furnished above are correct and complete.
Place:*
Signature of person responsible for deducting/collecting tax at source.*
Date:*
Name of designation of person responsible for deducting/collecting tax at source.*
Notes- 1.If address has changed give changed adddress in column 1(b)
2.Where collection is made by or on behalf of the government to give particulars of transfer vouchers;Other deductors to give particulars of challan No. regarding deposit into bank.
3.Column is relevant only for Government deducters.
Annexure
Details of purchase price of*debited/received for the period ending*and of tax collected at source.
Buyer Code (614)
PAN of the person from whom tax collected (615)
Name and address of the person from whom tax collected(address need not be given if PAN is mentioned)(616)
Total value of purchage(s) (617)
Amount of payment(Rs.) (618)
Date on which amount paid/debited (619)
Rate at which tax collected (620)
1
2
3
4
5
6
7
Amount of tax collected (Rs.)(621)
Date on which tax collected(622)
Bank Branch Code(623)
Date on which tax paid to the credit of Central Government(624)
Challan no given by bank(625)
Date of furnishing tax collection certificate(626)
Reason for non-collection/lower collection if any(627)
8
9
10
11
12
13
14
Notes:-1.Please write
Alcoholic liquor for human consumpion Timber obtained under a forest lease
Timber obtained by any mode other than under a forest lease Any other forest produce not being timber or tendu leaves
Scrap Parking lot
Toll plaza Mining and quarrying For tendu leaves
2.Please use seperate Annexures for each type of collection.3. Please enter Buyer Code 01 for
companies 02 for 'other than companies'.4. Where collection is made by or on behalf of the government, transfer voucher number may be entered in column(10).5. If necessary,please use additional sheets to give full details of collection in the above format.Please also give running serial number to all pages.6. Write X if lower deduction is as per section 206C(9). Write Y for any other reason give details in seperate sheet.
Signature of person responsible for deducting/collecting tax at source.
Name of designation of person responsible for deducting/collecting tax at source.