FORM NO. 26
[See section 194 and 194K and rule 37 ]
Annual return of deduction of tax from dividends / income in respect of units under section 206 of the Income-tax Act, 1961 For the year ending 31 st March,……………

1. (a) Tax Deduction Account Number oooooooooooo 
(b) Permanent Account Number oooooooooooo 

2. (a) Name / Designation  ooooooooooooooooooooo 
(b) Address ooooooooooooooooooooo 
Flat / Door / Block No. ooooooooooooooooooooo 
Name of Premises / Building ooooooooooooooooooooo 
Road / Street / Lane  ooooooooooooooooooooo 
Area / Locality ooooooooooooooooooooo 
Town / City / District ooooooooooooooooooooo 
State ooooooooooooooooooooo 
Pin Code oooooo 

 

(c) Has address of the principal officer deducting the tax under section 194 / person responsible for making the payment under section 194K changed since submitting the last return; Ticko  as applicable  Yeso  NOo 
(c) Is it a company in which the public are substantially interested as refferd in Proviso to section 194? Ticko  as applicable  Yeso  NOo 

3. Details of shares / units in respect of which dividend / income has been paid and tax deducted:
 

(a) Nature of share capital Amount of paid-up capital (Rs.) Rate of dividend (%) Amount of dividend (Rs.) Total amount of dividend payble to
Companies (Rs.) Person other than companies (Rs.)
    ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5 )
  1. Ordinary          
  2. Preference 
    (a) Tax – Free          
    (b) Taxable          
  Total          

 

(b)  Nature of share capital Amount of unit capital (Rs.) Rate of distribution of Income per unit (%) Amount of Income Distributed (Rs.) Total amount of income in respect of units payable to
Companies (Rs.) Person other than companies (Rs.)
    ( 1 ) ( 2 ) ( 3 ) ( 4 ) ( 5 )
             
             
             
  Total          
  1. Details of dividend / *income in respect of units declared during the financial year and details of tax deducted thereon :
S. No. Period of dividend/ Income in respect of units Date of payment of dividend / income in respect of units Total amount of dividend/income respect of units payable to Total amount of tax deducted  ( Tax and Surcharge )
Companies (Rs.) Person other than Companies (Rs.) Companies (Rs.) Person other than Companies (Rs.)
(1) (2) (3) (4) (5) (6) (7)
             
             
             
Total         

 

5. (a) Amount on which no deduction was to be made in 
accordance with the provisions of Section 196 		 oooooooooooooo 
  (b) Amount of dividend / income in respect of units, paid to individuals who have furnished Declarations specified in section 197A(1)/*section 19A(1A)  oooooooooooooo 

 

6. (a) Amount of dividend on which no deduction was made in accordance with provisons toSection 194  oooooooooooooo 
  (b) Number of persons to whom the dividend was paid without deduction of tax under Proviso to section 194  oooooooooooooo 

7. Details of tax paid to the credit or entral Government :

S. No. Challan No. Date(s) of payment Amount of tax paid (Rs.) Name and address of bank
(1) (2) (3)    
         
         
         
Total     


  1. Details of payments of dividends/income in respect of units (separately in respect of companies and persons other than companies),made after deducting tax at source under

(a) In the case of companies (give details in respect of each company) :

S. No. Parmanent A/C No.(PAN)  Name of Company Address of Company Amount of dividend / income in respect of units (Rs.) Date on which dividend / income in respect of units, paid Amount of tax deducted (Rs.) Date on which tax deducted Date on which tax paid to the credit of Central Govt. Tax deduction certificate Number Date of furnishing of tax Deduction Certificate to the company
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
                     
                     
                     
Total               


(b) In the case of persons other than companies ( give details in respect of each person / payee ) :

S. No. Parmanent A/C No.(PAN)  Name of person/payee Address of person Amount of dividend / income in respect of units  (Rs.) Date on which dividend / income in respect of units, paid Amount of tax deducted (Rs.) Date on which tax deducted Date on which tax paid to the credit of Central Govrt. Tax deduction certificate Number Date of furnishing of tax  Deduction Certificate to the person / payee
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
                     
                     
                     
                     
                     
                     
 Total               


  1. Details of payment of dividend / income in respect of units (separately in respect of companies and persons other than companies) which have been made after deducting tax at source at a lower rate or for which no tax deducted in accordance with section 197.

(a) In the case of companies :

S. No. Parma -nent A/C No. (PAN)  Name of ompany Address of ompany Amount of dividend / income in respect of units  (Rs.) Date on which dividend / income in respect of units, paid Rate of Dedu- ction of tax Amount of tax deducted (Rs.) Date on which tax deduc- ted Date on which tax paid to the credit of Central Govrt. Asse- ssing officer’s Certifi- cate Number Tax deduc- tion certifi-cate Number Date of furnish- ing of tax Dedu- ction Certif- icate to the company
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
                         
                          
                         
                         
                         
                         
 Total                   


(b) In the case of persons other than companies :

S. No. Parma -nent A/C No. (PAN)  Name of person / payee Address of person / payee Amount of dividend / income in respect of units  (Rs.) Date on which dividend / income in respect of units, paid Rate of  Dedu- ction of tax     (%) Amount of tax deducted       (Rs.) Date on which tax deduc-ted Date on which tax paid to the credit of Central Govrt. Asse- ssing officer’s Certifi- cate Number Tax deduc- tion certifi- cate Number Date of furnish- ing of  tax Dedu- ction Certif icate to the person / payee
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
                         
                          
                          
                          
                            
                               
 Total                   


  1. Amount of dividend / *income in respect of units paid or distributed without diduction of tax during the financial year on furnishing a statement under the provisions of section 197A (1) /*section 197A(1A).
S. No. Permanent Account Number (PAN) Name of shareholder /  Unit holder Adress of shareholder /  unit holder Amount of dividend /*income in respect of units paid or distributed to the shareholder / *unit holder mentioned in columns (3 & 4) during the financial year (Rs.) Date(s) of payments or distri- bution of dividend / distribution of income in respect of units Date on which 6the declaration was furnished by the declarant Date on which the declaration was furnished to the Commissio-ner of Income-tax / Chief Commissio-ner of I.T.
(1) (2) (3) (4) (5) (6) (7) (8)
               
               
               
 Total     



Verification

I, hereby certify that all the particulars furnished above are correct and complete.

Name and signature of the person responsible for deducting tax at source  
Designation  
Place :  
Date :