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Tax Information Network of Income Tax Department

Certificate No.: VTQCFR Last Updated 14/07/2012

FORM NO.16A
[See rule 31(1)(b)] Certificate under section 203 of the Income-tax Act, 1961 for Tax deducted at source Name and address of the Deductor VOLVO INDIA (P) LTD YALACHAHLLYVILLAGE, TAVREKEREPOST HOSKOTETALUK, BANGALORE KARNATAKA 562122 Name and address of the Deductee RAVI CHITRA 43/19 PROMENADE ROAD, FRASER TOWN, BANGALORE KARNATAKA 560005 Note : Name and address is as present in Income Tax PAN database. Apply for PAN change request to update details. PAN of the Deductor AAACV6747N CIT (TDS) The Commissioner of Income Tax (TDS) Room No. 59 H.M.T. Bhawan 4th Floor Bellary Road Ganganagar Bangalore 560032 Summary of Payment Amount paid/credited ( ) 20,920.00 21,216.70 20,762.00 Nature of payment 194C - Payment of contractors and sub-contractors 194C - Payment of contractors and sub-contractors 194C - Payment of contractors and sub-contractors Date of payment/credit (dd/mm/yyyy) 09/04/2012 11/05/2012 19/06/2012 Status of Booking MATCHED MATCHED MATCHED TAN of the Deductor BLRV03081B Assessment Year From 2013-14 01/04/2012 30/06/2012 PAN of the Deductee AMBPR0385A Period To

Summary of tax deducted at source in respect of deductee Quarter Receipt Numbers of original quarterly statements of TDS under sub-section (3) of section 200 EONXXUYC Amount of tax deducted in respect of the deductee ( ) 1,260.00 Amount of tax deposited/ remitted in respect of the deductee ( ) 1,260.00

Q1

I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee) S. No. Tax Deposited in respect of the deductee ( ) ) N.A. Book Identification number (BIN) Receipt numbers of Form No. 24G DDO sequence Number in the Book Adjustment Mini Statement N.A. Date on which tax deposited (dd/mm/yyyy) Status of Booking

Total (

II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee S. No. Tax Deposited in respect of the deductee ( ) 419.00 425.00 Challan Identification number (CIN) BSR Code of the Bank Branch 0510308 0510308 Date on which tax deposited (dd/mm/yyyy) 07/05/2012 08/06/2012 Challan Serial Number 21770 123 Status of Booking

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MATCHED MATCHED

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Tax Information Network of Income Tax Department


TAN of the Deductor BLRV03081B PAN of the Deductee AMBPR0385A Assessment Year 2013-14 Quarter Q1

Certificate No.: VTQCFR


Last Updated 14/07/2012

II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN (The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee S. No. Tax Deposited in respect of the deductee ( ) 416.00 ) 1,260.00 Verification I, B. A. KRISHNAMURTHY, son/daughter of B. K. ANANTHRAMAIAH working in the capacity of DGM TAXATION (designation) do hereby certify that a sum of ( ) 1,260.00 [Rupees One Thousand Two Hundred Sixty only] has been deducted and a sum of ( ) 1,260.00 [Rupees One Thousand Two Hundred Sixty only] has been deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS statements, TDS deposited and other available records. Place Date BANGALORE 18/09/2012 Signature of person responsible for deduction of tax Challan Identification number (CIN) BSR Code of the Bank Branch 0510308 Date on which tax deposited (dd/mm/yyyy) 06/07/2012 Challan Serial Number 11528 Status of Booking

3 Total (

MATCHED

Notes: 1.Form 16A is generated on the basis of the details provided in the quarterly TDS statement filed by deductor in TIN. 2.To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTITSL.

Signature Not Verified


Digitally signed by BANAVARA ANANTHARAMIAH KRISHNAMURTHY Date: 2012.09.18 12:36:19 IST

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