FORM NO.

16B

[See rule 31(1)(b)]

Certificate under Section 203 of the Income Tax Act, 1961 for Tax Deducted at Source

Certificate No.: XOIEGGK Last Updated On: 05-Jul-2016

Name and Address of the Deductor (Transferee) Name and Address of the Deductee (Transferor)

RATNESH JHA VISHALKUMAR BRAHMANAND DEWAN

C/O SRI RAMESH CHANDRA,F/,KATWARIA SARAI,S.D.A, FLAT NO 14,PASHAN SADAN APT,PASHAN,
NEW DELHI - 110016 PUNE - 411021
Delhi Maharashtra

PAN of the Deductor (Transferee) PAN of the Deductee (Transferor) Assessment Year

AGGPJ8804M AAVPD2960K 2017-18

Summary of Transaction(s)

Sr. No. Unique Acknowledgement Number Amount Paid / Credited (Rs.) Date of Payment / Credit (dd-mmm-yyyy)

1 AD1831664-1 2500000.00 23-Jun-2016

I. DETAILS OF TAX DEDUCTED AND DEPOSITED WITH RESPECT TO THE DEDUCTEE

(Income Tax + Surcharge + Edu. Cess)

Challan Identification Number (CIN)

Sr. No. Amount (Rs.)
Date on which Tax Deposited (dd-
BSR Code of the Bank Branch Challan Serial Number
mmm-yyyy)

1 25000.00 0004329 30-Jun-2016 04948

II. DETAILS OF TAX DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH CHALLAN
(Income Tax + Surcharge + Edu. Cess + Fee + Interest)

Challan Identification Number (CIN)

Sr. No. Amount (Rs.)
Date on which Tax Deposited (dd-
BSR Code of the Bank Branch Challan Serial Number
mmm-yyyy)

1 25000.00 0004329 30-Jun-2016 04948

Verification

I, RATNESH JHA, son / daughter of RAJENDRA JHA in the capacity of Buyer of Immovable Property (Designation) do hereby certify that a sum of Rs. 25000.00 [Rs. Twenty Five
Thousand Only (in words)] has been deducted and deposited to the credit of the Central Government. I further certify that the information given above is true, complete and correct
and is based on the books of account, documents, TDS statements, TDS deposited and other available records.

Place: Bangalore Signature of Person Responsible for Deduction of Tax:

Date: 05-Jul-2016 Full Name: RATNESH JHA

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