FORM NO. 16A
[see rule 31(1) (c)]
Certificate of deduction of tax at source under
section 203 of the Income-tax Act, 1961
[For interest on securities; dividends;
interest other than ‘‘interest on
securities’’; winnings from lottery or crossward
puzzle; winnings from horse race; payments to contractors and
sub-contractors; insurance commission; payments to non-resident
sportsman / sports associations; payments in respect of deposits
under National Savings Scheme; payments on account of repurchase
of units by Mutual Fund or Unit Trust of India; commission,
remunerationor prize on sale of lottery tickets; [rent] [fees for
professional or technical services; income in respect of units;]
other sums under section 195; income of foreign companies
referred to in section 196A(2); income from units referred to in
section 196B;
| TDS CERTIFICATE NO. |
| Name and address of the persondeducting tax | TDS circle where Annual Return under section 206 is to be delivered | Name and address of the person to whom payment made or in whose account it is credited | ||||||
| TAX DEDUCTION A/C NO. OF THE DEDUCTOR | NATURE OF PAYMENT | PAN/ GIR NO. OF THE PAYEE | ||||||
| PAN/ GIR NO. OF THE DEDUCTOR | FOR THE PERIOD | |||||||
| 19 | TO 19 | |||||||
DETAILS OF PAYMENT, TAX DEDUCTION AND DEPOSIT OF TAX INTO CENTRAL GOVERNMENT ACCOUNT
| Date of payment / credit | Amount paid/ credited (Rs) | Amount of income-tax deducted (Rs) | Rate of which deducted | Date and Challan No. of deposit of tax into Central Government Account | Name of bank and branch where tax deposited |
| Certified that a sum of Rs.(in words) | __________________________ | Has been |
deducted at source and to the credit of the
Central Government as per details given above.
| Place | |
| Date |
| Signature of person responsible for deduction of tax |
| Full Name : | |
| Designation : |