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00000000000027022395

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 01/10/14 to 31/12/14 (dd/mm/yy)#)
1 (a) Tax Deduction Account No.
(b) Permanent Account No.

VPND00761F
PANNOTREQD

(c) Form No.

2014-15

(e) Assessment year

2015-16

(f) Previous receipt number


NA
(In case return/statement has
been filed earlier)
3 Name of the person responsible for deduction / collection of tax

24Q

2 Particulars of the deductor / collector


(a) Name
(b) Type of deductor*
(c) Branch / division (if any)
(d) Address
Flat No.
Name of the premises/building
Road / street / lane
Area / location
Town / City / District
State
Pin code
Telephone No.
E-mail

(d) Financial Year

DISTRICT COURT SRIKAKULAM


STATE GOVERNMENT

DISTRICT COURT
PALAKONDA ROAD
NEAR RTC COMPLEX
SRIKAKULAM
SRIKAKULAM
ANDHRA PRADESH
532001
SRK.PDJ-AP@INDIANJUDICIARY.GOV.IN

(a)Name
V.NAGESWARA RAO
(b)Address
Flat No.
DISTRICT COURT
Name of the premises/building
PALAKONDA ROAD
Road / street / lane
NEAR RTC COMPLEX
Area / location
SRIKAKULAM
Town / City / District
SRIKAKULAM
State
ANDHRA PRADESH
Pin code
532001
Telephone No.
E-mail
SRK.PDJ-AP@INDIANJUDICIARY.GOV.IN

4 Control totals
Sr. No.
1
Total

Return Type
No. of deductee / party
(Regular / Correction type)
records
REGULAR

15
15

Amount paid
( )

Tax deducted / collected


( )

1173467.00
1173467.00

69500.00
69500.00

Tax deposited
(Total challan amount)
( )
69500.00
69500.00

5 Total Number of Annexures enclosed


6 Other Information
I,

V.NAGESWARA RAO

Place: SRIKAKULAM

VERIFICATION
, hereby certify that all the particulars furnished above are correct and complete.
Signature of person responsible for deducting / collecting tax at source

V.NAGESWARA RAO, ADMINISTRATIVE


13/01/2015
Date:
Name and designation of person responsible for deducting / collecting tax at source OFFIC
* Mention type of deductor - Government or Others
# dd/mm/yy :- date/month/year

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