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 Q4 (From 01/01/22 to 31/03/22 (dd/mm/yy)#) 1 (a) Tax Deduction Account No. HYDS20290E (d) Financial Year 2021-22 (b) Permanent Account No. AJKPV9817F (e) Assessment year 2022-23 (c) Form No. 24Q (f) Previous receipt number 410000162437950 (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 V MADHUSUDHANA RAO (a)Name V MADHUSUDHANA RAO (b) Type of deductor* STATE GOVERNMENT (b)PAN AJKPV9817F (c) Branch / division (if any) KAIKALURU (c)Address (d) Address Flat No. 1 Flat No. 1 Name of the premises/building MRO OFC COMPOUND Name of the premises/building MRO OFC COMPOUND Road / street / lane KAIKALURU Road / street / lane KAIKALURU Area / location Area / location Town / City / District KAIKALURU Town / City / District KAIKALURU State ANDHRA PRADESH State ANDHRA PRADESH Pin code 521333 Pin code 521333 Telephone No. 8677-222036 Telephone No. 8677-222036 E-mail STOKAIKALURU@GMAIL.COM E-mail STOKAIKALURU@GMAIL.COM 4 Control totals Tax deposited Return Type No. of deductee / party Amount paid Tax deducted / collected Sr. No. (Total challan amount) (Regular / Correction type) records ( ) ( ) ( ) 1 CORRECTION TYPE (C5) 1 - - - 2 CORRECTION TYPE (C3) 6 3266898.00 97573.00 97573.00 3 CORRECTION TYPE (C4) - - - - Total 7 3266898.00 97573.00 97573.00 5 Total Number of Annexures enclosed 6 Other Information VERIFICATION I, V MADHUSUDHANA RAO , hereby certify that all the particulars furnished above are correct and complete. Place: KAIKALURU Signature of person responsible for deducting / collecting tax at source V MADHUSUDHANA RAO, SUB TREASURY 29/07/2022 Date: Name and designation of person responsible for deducting / collecting tax at source OFFICER * Mention type of deductor - Government or Others # dd/mm/yy :- date/month/year