File Hash 00000000000017568517

19073113033817568517

Form No. 27A

Form for furnishing information with the statement of deduction / collection of tax at source ( tick whichever is applicable ) filed on computer media for the period Q4
(From 01/01/19 to 31/03/19 (dd/mm/yy)#)
1 (a) Tax Deduction Account No. AMRV10705C (d) Financial Year 2018-19
(b) Permanent Account No. ARBPS0332B (e) Assessment year 2019-20
(c) Form No. 26Q (f) Previous receipt number 164689600094843
(In case return/statement has
been filed earlier)
2 Particulars of the deductor / collector 3 Name of the person responsible for deduction / collection of tax
(a) Name VISAKHA SINGH (a)Name VISAKHA SINGH
(b) Type of deductor* INDIVIDUAL/HUF (b)PAN ARBPS0332B
(c) Branch / division (if any) BATHINDA (c)Address
(d) Address Flat No. PROP. M/S VISAKHA SINGH
Flat No. BATHINDA Name of the premises/building SWARAN SINGH
Name of the Road / street / lane GIDDERBHA
PROP. MS/ VISAKHA SINGH S
premises/building Area / location
Road / street / lane PROP. M/S VSD HIGH CLASS Town / City / District MUKTSAR
Area / location NEAR GHANTA GHAR CHWOK State PUNJAB
Town / City / District GIDDERBHA Pin code 152101
State PUNJAB Telephone No. 164-2222154
Pin code 152101 E-mail
Telephone No. 164-2222154
E-mail ADITYAMITTAL_LLB@REDIFFMAIL.COM
4 Control totals
Tax deposited
Return Type No. of deductee / party Amount paid Tax deducted / collected
Sr. No. (Total challan amount)
(Regular / Correction type) records ( ) ( )
( )
1 CORRECTION TYPE (C1) - - - -
2 CORRECTION TYPE (C5) 1 - - -
Total 1 - - -
5 Total Number of Annexures enclosed
6 Other Information
VERIFICATION
I, VISAKHA SINGH , hereby certify that all the particulars furnished above are correct and complete.
Place: GIDDERBHA Signature of person responsible for deducting / collecting tax at source
Date: 31/07/2019 Name and designation of person responsible for deducting / collecting tax at source VISAKHA SINGH, PROP.
* Mention type of deductor - Government or Others
# dd/mm/yy :- date/month/year

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