2

FORM NO-27EQ
[see section 206C and rule 31AA]

Quarterly statement of tax collection at source under section 206C of the I.T.Act, 1961 for the quarter ended September (year)2012
Tax Collection Account number
PTLA14391G
(d) Assessment Year :(TAN):(b)
Permanent Account Number :AYVPS3183M
(e) Has any statement been filed earlier for this quarter(Yes/No):(c)
Financial year:2012 - 2013
(f) If answer of (e)is 'Yes' then provisional receipt no. of original statement:2. Particulars of the collector :(a)Name of the Collector
MR. AMAN SINGLA
(b)Type of Collector:Q-Individual/HUF
(c)Branch/ division(if any):(d)Address:Flat/Block No.
H.no. 5974
Name of Premises/Building
Road/Street/Lane
MHC
Area/Locality
MANIMAJRA
Town/City/District
CHANDIGARH
State
CHANDIGARH
Pin Code
160101
E-mail
rajive611@gmail.com
Tel. No.
3. Particulars of the person responsible for collection of tax:(a)Name:AMAN SINGLA
(b)Address:Flat/Block No.
H.no. 5974
Name of Premises/Building
Road/Street/Lane
MHC
Area/Locality
MANIMAJRA
Town/City/District
CHANDIGARH
State
CHANDIGARH
Pin Code
160101
E-mail
rajive611@gmail.com
Tel. No.
1(a)
2013-2014
No
4. Details of tax collected and paid to credit to the Central Government:-
S.No
Collection
Code
TCS
Rs.
Surcharge
Education
Cess
(651)
(652)
(Rs.)
(653)
(Rs.)
(654)
(Rs.)
(655)
Higher
Educatio
n Cess
(Rs.)
Interest
Other
Total tax
deposited
Cheque/D
D No.
BSR
Code
(Rs.)
(656)
(Rs.)
(657)
(Rs.)
(658)
(659)
(660)
8495.00
0.00
0.00
0.00
0.00
0.00
8495
0301525
27709.00
0.00
0.00
0.00
0.00
0.00
27709
0301525
58170.00
0.00
0.00
0.00
0.00
0.00
58170
0301525
94374.00
0.00
0.00
0.00
0.00
0.00
Total
94374.00
5. Details of amount paid and tax collected theron from the deductees(see Annexure):-
Verification
I, AMAN SINGLA hereby certify that all the particulars furnished above are correct and complete.
Place
Date
08/02/2014
Signature of the person responsible for collecting tax at source

Name and designation of person responsible for collecting tax at source
AMAN SINGLA
PROP.
Date on
which tax
deposite
(661)
08/08/201
2
07/09/201
2
06/10/201
2
Transfer
Voucher/C
hallan
Serial No.
Whether
TCS
deposited
by book
entry?
Yes/No
(662)
(663)
00003
No
00007
No
00005
No
ANNEXURE-DEDUCTEE WISE BREAK-UP OF TCS

(Please use separate Annexure for each line-item in the table at S.No.4 of main Form 27EQ)
Details of amounts paid/credit during the quarter ended 30/09/2012 and of tax deducted at source
BSR Code of the branch where tax is
deposited
Challan Serial No.
Total TCS to be allocated among
deductees as in the vertical total of
Col.676
Others
Name of the Collector
Permanent
Account
Number of
Party
0301525
Date on which tax deposited
08/08/2012
00003
Collection Code under which payment made
8495
Interest
0.00
0.00
MR. AMAN SINGLA
Total of the above

TAN
8495
PTLA14391G
S.
No
.
Party
code
(66
4)
(665
)
(666)
(667)
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
Name of Party
Total
value
of the
Purchas
e(s)
Date on
which
amount
paid/debite
d
Amount
paid/
credited
Paid
by
book
entry
or
other
wise
TCS
Surch
arge
Educati
on cess
Higher
Educatio
n cess
(Rs.)
Total
(668)
258430
.00
280752
.00
285404
.00
824586
.00
(669)
16/07/2012
16/07/2012
16/07/2012
(670)
258430.0
0
280752.0
0
285404.0
0
824586.0
0
Total tax
deposite
d
Date on
which tax
Collected
Rate at
which
tax
Collect
ed
(675)
(676)
(677)
(678)
Total tax
Collecte
d
Reason
for non
Collectio
n / lower
Collectio
n if any
(679)
(Rs.)
(671)
(672)
(673)
(674)
No
2584.00
0.00
52.00
26.00
2662.00
2662.00
No
2808.00
0.00
56.00
28.00
2892.00
2892.00
No
2854.00
0.00
57.00
29.00
2940.00
2940.00
8246.00
0.00
165.00
83.00
8494.00
8494.00
Verification
Place
Signature of the person responsible for Collecting tax at source
Date
13-Oct-2012
Name and designation of person responsible for Collecting tax at source
AMAN SINGLA
PROP.
16/07/201
2
16/07/201
2
16/07/201
2
1.03
1.03
1.03

deposited
Challan Serial No.
Col.676
Others
Permanent
Account
Number of
Party
0301525
07/09/2012
00007
27709
Interest
0.00
0.00
MR. AMAN SINGLA
Total of the above

TAN
27709
PTLA14391G
S.
No
.
Party
code
(66
4)
(665
)
(666)
(667)
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
10
02
AEEPS6850G
11
02
AEEPS6850G
Name of Party
Total
value
of the
Purchas
e(s)
Date on
which
amount
paid/debite
d
Amount
paid/
credited
Paid
by
book
entry
or
other
wise
TCS
Surch
arge
Educati
on cess
Higher
Educatio
n cess
(Rs.)
Suresh Steel
Co
Suresh Steel
Co
(668)
274096
.00
252825
.00
263906
.00
248622
.00
361511.
00
164292
.00
227304
.00
112543.
00
265180
.00
268047
.00
251896
.00
(669)
20/08/2012
20/08/2012
20/08/2012
20/08/2012
09/08/2012
17/08/2012
17/08/2012
17/08/2012
20/08/2012
17/08/2012
17/08/2012
(670)
274096.0
0
252825.0
0
263906.0
0
248622.0
0
361511.0
0
164292.0
0
227304.0
0
112543.0
0
265180.0
0
268047.0
0
251896.0
0
Total tax
deposite
d
Date on
which tax
Collected
Rate at
which
tax
Collect
ed
(675)
(676)
(677)
(678)
Total tax
Collecte
d
Reason
for non
Collectio
n / lower
Collectio
n if any
(679)
(Rs.)
(671)
(672)
(673)
(674)
No
2741.00
0.00
55.00
27.00
2823.00
2823.00
No
2528.00
0.00
51.00
25.00
2604.00
2604.00
No
2639.00
0.00
53.00
26.00
2718.00
2718.00
No
2486.00
0.00
50.00
25.00
2561.00
2561.00
No
3615.00
0.00
72.00
36.00
3723.00
3723.00
No
1643.00
0.00
33.00
16.00
1692.00
1692.00
No
2273.00
0.00
45.00
23.00
2341.00
2341.00
No
1125.00
0.00
23.00
11.00
1159.00
1159.00
No
2652.00
0.00
53.00
27.00
2732.00
2732.00
No
2680.00
0.00
54.00
27.00
2761.00
2761.00
No
2520.00
0.00
50.00
25.00
2595.00
2595.00
20/08/201
2
20/08/201
2
20/08/201
2
20/08/201
2
09/08/201
2
17/08/201
2
17/08/201
2
17/08/201
2
20/08/201
2
17/08/201
2
17/08/201
2
1.03
1.03
1.03
1.03
1.03
1.03
1.03
1.03
1.03
1.03
1.03
Total
269022
2.00
2690222.
00
26902.0
0
0.00
539.00
268.00
27709.0
0
Verification
Place
Date
13-Oct-2012
AMAN SINGLA
PROP.
27709.0
0

deposited
Challan Serial No.
Col.676
Others
Permanent
Account
Number of
Party
0301525
06/10/2012
00005
58170
Interest
0.00
0.00
MR. AMAN SINGLA
Total of the above

TAN
58170
PTLA14391G
S.
No
.
Party
code
(66
4)
(665
)
(666)
(667)
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
02
AMFPS8780C
Ambe Traders
10
02
AMFPS8780C
Ambe Traders
11
02
AMFPS8780C
Ambe Traders
Name of Party
Total
value
of the
Purchas
e(s)
Date on
which
amount
paid/debite
d
Amount
paid/
credited
Paid
by
book
entry
or
other
wise
TCS
Surch
arge
Educati
on cess
Higher
Educatio
n cess
(Rs.)
(668)
262223
.00
266442
.00
199799
.00
271165.
00
259751
.00
263555
.00
266441
.00
353288
.00
263425
.00
262375
.00
254110.
00
(669)
05/09/2012
06/09/2012
06/09/2012
06/09/2012
06/09/2012
07/09/2012
08/09/2012
14/09/2012
15/09/2012
15/09/2012
17/09/2012
(670)
262223.0
0
266442.0
0
199799.0
0
271165.0
0
259751.0
0
263555.0
0
266441.0
0
353288.0
0
263425.0
0
262375.0
0
254110.0
0
Total tax
deposite
d
Date on
which tax
Collected
Rate at
which
tax
Collect
ed
(675)
(676)
(677)
(678)
Total tax
Collecte
d
Reason
for non
Collectio
n / lower
Collectio
n if any
(679)
(Rs.)
(671)
(672)
(673)
(674)
No
2622.00
0.00
0.00
0.00
2622.00
2622.00
No
2664.00
0.00
0.00
0.00
2664.00
2664.00
No
1998.00
0.00
0.00
0.00
1998.00
1998.00
No
2712.00
0.00
0.00
0.00
2712.00
2712.00
No
2598.00
0.00
0.00
0.00
2598.00
2598.00
No
2636.00
0.00
0.00
0.00
2636.00
2636.00
No
2664.00
0.00
0.00
0.00
2664.00
2664.00
No
3533.00
0.00
0.00
0.00
3533.00
3533.00
No
2634.00
0.00
0.00
0.00
2634.00
2634.00
No
2624.00
0.00
0.00
0.00
2624.00
2624.00
No
2541.00
0.00
0.00
0.00
2541.00
2541.00
05/09/201
2
06/09/201
2
06/09/201
2
06/09/201
2
06/09/201
2
07/09/201
2
08/09/201
2
14/09/201
2
15/09/201
2
15/09/201
2
17/09/201
2
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
12
02
AMFPS8780C
Ambe Traders
367325
.00
19/09/2012
13
02
AMFPS8780C
Ambe Traders
357.00
19/09/2012
14
02
AMFPS8780C
Ambe Traders
15
02
AMEPS5438E
Bachni Devi
16
02
AMEPS5438E
Bachni Devi
17
02
AMEPS5438E
Bachni Devi
18
02
AMEPS5438E
Bachni Devi
19
02
AMEPS5438E
Bachni Devi
20
02
AANPJ5866C
21
02
AEEPS6850G
22
02
AEEPS6850G
Jain Coal
Traders
Suresh Steel
Co
Suresh Steel
Co
Total
429507
.00
201372
.00
263424
.00
260538
.00
242172
.00
255422
.00
185080
.00
168281
.00
163464
.00
545951
6.00
20/09/2012
24/09/2012
24/09/2012
24/09/2012
24/09/2012
25/09/2012
04/09/2012
15/09/2012
15/09/2012
367325.0
0
357617.0
0
429507.0
0
201372.0
0
263424.0
0
260538.0
0
242172.0
0
255422.0
0
185080.0
0
168281.0
0
163464.0
0
5816776.
00
No
3673.00
0.00
0.00
0.00
3673.00
3673.00
No
3576.00
0.00
0.00
0.00
3576.00
3576.00
No
4295.00
0.00
0.00
0.00
4295.00
4295.00
No
2013.00
0.00
0.00
0.00
2013.00
2013.00
No
2634.00
0.00
0.00
0.00
2634.00
2634.00
No
2605.00
0.00
0.00
0.00
2605.00
2605.00
No
2422.00
0.00
0.00
0.00
2422.00
2422.00
No
2554.00
0.00
0.00
0.00
2554.00
2554.00
No
1851.00
0.00
0.00
0.00
1851.00
1851.00
No
1683.00
0.00
0.00
0.00
1683.00
1683.00
No
1635.00
0.00
0.00
0.00
1635.00
1635.00
58167.0
0
0.00
0.00
0.00
58167.0
0
58167.0
0
Verification
Place
Date
13-Oct-2012
AMAN SINGLA
PROP.
19/09/201
2
19/09/201
2
20/09/201
2
24/09/201
2
24/09/201
2
24/09/201
2
24/09/201
2
25/09/201
2
04/09/201
2
15/09/201
2
15/09/201
2
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00

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FORM NO-27EQ

[see section 206C and rule 31AA]

4. Details of tax collected and paid to credit to the Central Government:-

Signature of the person responsible for collecting tax at source

ANNEXURE-DEDUCTEE WISE BREAK-UP OF TCS

Date on which tax deposited

Collection Code under which payment made

Total of the above

ANNEXURE-DEDUCTEE WISE BREAK-UP OF TCS

Date on which tax deposited

Collection Code under which payment made

Total of the above

ANNEXURE-DEDUCTEE WISE BREAK-UP OF TCS

Date on which tax deposited

Collection Code under which payment made

Total of the above

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