Annual Information Statement

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..... ormation 1. Information relating to tax deducted or collected at source 2. Information relating to specified financial transaction 3. Information relating to payment of taxes 4. Information relating to demand and refund 5. Information relating to pending proceedings 6. Information relating to completed proceedings 7. Any other information in relation to sub-rule (2) of rule 114-I ] ********** NOTES:- 1. Substituted vide Notification No. 95/ .....

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..... eduction made Date of Payment / Credit Amount paid / credited Rs. Tax deducted (TDS + Surcharge + Education Cess) Rs. TDS deposited Rs. (501) (502) (503) (504) (505) (506) (507) (508) 1. 2. 3. .....

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..... Total 2 [ Permanent Account Number or Aadhaar Number ] : Financial year: Assessment year: PART C .....

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..... Total Date: This statement is issued on behalf of the Income Tax Department. The details of tax indicated above are based on the data submitted by deductors/sellers and confirmation from banks that the taxes have been received.This statemen .....

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