FORM NO. 27ED

FORM NO. 27ED

[See section 206C read with rule 37E]

Half-yearly return of collection of tax under section 206C from buyers of any other forest produce not being timber or tendu leaves for the period ending

1. (a) ? Tax Deduction Account Number

? ? ? ? (b) ? Permanent Account Number

2. Details of the seller

? ? ? ? (a) ? Name

? ? ? ? (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 seller change since submitting the last return ? ? Tick as applicable Yes ? ? ? ? ? No ?

1. Details of gross amount debited/received under and tax? thereon section 206C:

Buyer?

Gross amount debited/received during the half-yearly period? (Rs.)

Total amount of tax collected

Income-tax (Rs.)

Surcharge (Rs.)

Total (Rs.)

(1)

(5)

(6)

(7)

1. Companies

2. person other than companies

? ? Total

1. Details of tax collected and paid? to the? Central Government :

1. By or on behalf of Central Government:

Sl. No.

Amount? deducted (Rs.)

Transfer Voucher Number

Date of Transfer Voucher

(1)

(2)

(3)

(4)

Total

(b) By person responsible for collecting other than Central Government

Sl. No.

Challan Number

Date of payment

Amount of tax paid (Rs.)

Name and address of the bank

(1)

(2)

(3)

(4)

(5)

Total

1. Details of payments received /debited from buyers and of tax collected at source under section 206C :? :

(a) In the case of buyers, being companies:

Sl. No.

Permanent Account Number (PAN)

Name of company

Address of the company

Total value of the purchase(s)

Amount? debited/ received? (Rs.)

Amount of tax collected

Date on which tax collected

Date on which tax collected at source was paid to the credit of the Central Government?

Tax deduction Certificate Number

Date of furnishing of tax Deduction Certificate to the company

Total

???????

(b) In the case of buyers, other than companies:

Sl. No.

Permanent Account Number (PAN)

Name of buyer

Address of the buyer

Total value of the purchase(s)

Amount? debited/ received? (Rs.)

Amount of tax collected

Date on which tax collected

Date on which tax collected at source was paid to the credit of the Central Government?

Tax deduction Certificate Number

Date of furnishing of tax Deduction Certificate to the company

Total

Verification

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

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

Date: Designation.