FORM NO. 27B
Form for furnishing information with the statement of collection of tax at source
filled on computer media for the period ending __________ (dd/mm/yyyy)
1. (a) Tax Deduction Account Number
(b) Permanent Account Number
(c) Financial year
(d) Assessment year
(e) Previous receipt number
(In case return has been filed earlier)
2. Particulars of the collector
(a) Name
(b) Branch/division (if any)
(c) Address
Flat No.
Name of the premises/building
Road/street/lane
Area/location
Town/City/District
State
Pin code
Telephone No.
E-mail