Form No. 27A: (In Case Return / Statement Has Been Filed Earlier)

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Form No.

27A
Form for furnishing information with the statement of deduction of tax at source filed on computer media for the period (From 01-04-10 to 30-06-10)

1. (a) (b) (c)

Tax Deduction Account No. Permanent Account No. Form No.

MUMR00851E AAAFR3532N 26Q

(d) (e) (f)

Financial Year Assessment year Previous receipt number

2010-11 2011-12 -----

( In case return / Statement has been filed earlier)

2. Particulars of 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/Locality Town/City/District State Pin Code Telephone No. E-mail. 4. Control Totals
Sr.No Total

RASHI CHEMICALS AND PLASTIC Firm

66 SHALAKA CHS LTD D.N NAGAR, ANDHERI (W) MUMBAI MAHARASHTRA 400053 26303138 ngdclient@gmail.com

3. Details of the person responsible for deduction of ta SURESH D. KHIVANSARA (a) Name (b) Address : 66 SHALAKA Flat No. Name of the Premises/Building D.N.NAGAR ANDHERI (W) Road/Street/Lane 400 053 Area/Location MUMAI Town/City/District MAHARASHTRA State 400053 Pin Code 9820426773 Telephone No. ngdclient@gmail.com E-mail.

No. of Deductee Records 0 0

Amount Paid (Rs.) 0.00

Tax Deducted (Rs.) 0.00

Tax deposited (Total challan amount) Rs. 0.00

5. Total Number of Annexures enclosed 6. Others information


I, SURESH D. KHIVANSARA

Verification hereby certify that all the particulars furnished above are correct and complete.

Place : Date :

Mumbai 31-07-2010

Signature of person responsible for deducting tax at source Name and designation of person responsible for deducting tax at source

SURESH D. KHIVANSARA PARTNER

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