File Hash 00000000000016224685

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
(From 01/07/13 to 30/09/13 (dd/mm/yy)#
1 (a) Tax Deduction Account No. MUMT13163D (d) Financial Year 2013-14
(b) Permanent Account No. AACCT9861D (e) Assessment year 2014-15
(c) Form No. 26Q (f) Previous receipt number NA
(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 TARUK IMPEX PRIVATE LIMITED
(b) Type of deductor* COMPANY
(c) Branch / division (if any)
(d) Address
Flat No. G - 4/5
Name of the premises/building SHIV INDUSTRIAL ESTATE
Road / street / lane BHAI BALMUKUND ROAD
Area / location CHINCHPOKLI EAST
Town / City / District MUMBAI
State MAHARASHTRA
Pin code 400012
Telephone No. 022-9820159592
E-mail TARUKIMPEX@GMAIL.COM
(a)Name SAABBIRHHUSSAIN TAHERBHAI
(b)Address
Flat No. G - 4/5
Name of the premises/building SHIV INDUSTRIAL ESTATE
Road / street / lane BHAI BALMUKUND ROAD
Area / location CHINCHPOKLI EAST
Town / City / District MUMBAI
State MAHARASHTRA
Pin code 400012
Telephone No. 022-9820481385
E-mail TARUKIMPEX@GMAIL.COM
4 Control totals
Sr. No.
Return Type
(Regular / Correction type)
No. of deductee /party
records
Amount paid
( )
Tax deducted/collected
( )
Tax deposited
(Total challan amount)
( )
1 REGULAR 2 106000.00 7720.00 7720.00
Total 2 106000.00 7720.00 7720.00
5 Total Number of Annexures enclosed
6 Other Information
VERIFICATION
I , SAABBIRHHUSSAIN TAHERBHAI , hereby certify that all the particulars furnished above are correct and complete.
Place: MUMBAI Signature of person responsible for deducting / collecting tax at source
Date:
16/07/2014
Name and designation of person responsible for deducting / collecting tax at source
SAABBIRHHUSSAIN TAHERBHAI,
AUTHORISED PERSON
* Mention type of deductor - Government or Others
# dd/mm/yy :- date/month/year
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