FORM NO. 26G

FORM NO. 26G

[See section 194F and rule 37]

Annual return of deduction of tax from payments on repurchase of units by Mutual Funds or Units Trust of India,? under section 206 of the Income-tax, 1961, for the year ending 31st March,?

1. (a) ? Tax Deduction Account Number

? ? ? ? (b) ? Permanent Account Number

2.? Details of the person responsible for paying any amount referred to section 80CCB(2)

? ? ? ? (a) ? Name /Designation

? ? ? ? (b) ? Address

? ? ? ? ? ? ? ? Flat/Door/Block No.

? ? ? ? ? ? ? ? Name of premises/Building

? ? ? ? ? ? ? ? Road/Street/Lane

? ? ? ? ? ? ? ? ? Area/Locality

? ? ? ? ? ? ? ? Town/City/District

? ? ? ? ? ? ? ? ? State

? ? ? ? ? ? ? ? Pin Code

? Has address of the person responsible for paying any amount referred to Tick as applicable Yes ? ? ? ? ? No.

In section 80CCB(2) changed since submitting the last return?

1. Gross amount of payment made and tax deducted thereon :

Payee

Gross amount paid during the year.? (Rs.)

Total amount of payment ? on which no tax deducted? (Rs.)

Total amount of payment ? on which? tax deducted (Rs.)

Total amount of tax deducted

Income-tax (Rs.)

Surcharge (Rs.)

Total (Rs.)

(1)

(2)

(3)

(4)

(5)

(6)

1. Companies

2. Person other than companies

Total

1. Details of tax deducted and paid to the credit of Central Government?

Sl. No.

Challan No.

Date of payment

Amount of tax paid (Rs.)

Name and address of bank

(1)

(2)

(3)

(4)

(5)

Total

1. Details of payments made under section 80CCB(2) during the year and of tax deducted at source?

1. ?In the case of companies :

Sl No.

Permanent Account Number (PAN)

Name of company

Address of the company

Amount paid during the year (Rs.)

Date on which? payment made

Amount of tax deducted (Rs.)

Date on which tax deducted

Date on which tax was paid to the credited of Central Government

Tax deduction Certificate Number

Date of furnishing of tax deduction Certificate to the company

Total

1. In the case of persons/payee other than companies:

Sl No.

Permanent Account Number (PAN)

Name of person / payee?

Address of the person / payee?

Amount paid during the year (Rs.)

Date on which? payment made

Amount of tax deducted (Rs.)

Date on which tax deducted

Date on which tax was paid to the credited of Central Government

Tax deduction Certificate Number

Date of furnishing of tax deduction Certificate to the person / payee?

Total

Verification

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

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

Date: Designation?