FORM NO.

27A
Form for furnishing information with the return or statement of deduction of tax at source filed on
computer media for the period
(From 01/07/2009 To 30/09/2009)

1 (a) Tax Deduction MUMP23701G (d) Financial Year 2009-2010

Account No.
(b) Permanent AAAHL2961H (e) Assessment Year 2010-2011
Account No.
(c) Form No. 26Q (f) Previous receipt
number

2 Particulars of the deductor 3 Name of the person responsible for deduction

of tax
(a) Name PRAKASH KUMAR.P. (a) Name PRAKASH KUMAR.P.
LUNIA H.U.F LUNIA
(b) Type of deductor Individual/HUF (b) Address
(c) Branch/Division Flat No. 25,RAMWADI
(d) Address Name of the GYAN BLDG R.N-28
premises/building
Flat No. 25,RAMWADI Road / Street / Kalbadevi Road,
Lane
Name of the GYAN BLDG R.N-28 Area / Location
premises/building
Road / Street / Kalbadevi Road, Town / City / Mumbai
Lane District
Area / Location State MAHARASHTRA
Town / City / Mumbai Pin Code 400002
District
State MAHARASHTRA Telephone No. 022
Pin Code 400002 E-mail
Telephone No. 2013172
E-mail

4 Control Totals
Sr. No. No. of Deductee Amount Paid Tax Deducted Tax Deposited
Records
Total 81 1693653 38387 38387

5 Total Number of Annexures enclosed 0

6 Other Information

Verification
I, PRAKASH KUMAR.P. LUNIA , certify that all the particulars furnished above are correct and
complete.

Place : Mumbai Signature of person responsible for deducting tax at source

Date : 03/11/2009 Name and designation of person responsible for deducting
tax at source PRAKASH KUMAR.P. LUNIA (KARTA)