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 :

 

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