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  • 8/6/2019 Chandra Prakash Pant

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    FORM NO 16A[SEE RULE 31(1)(b)]

    CERTIFICATE OF DEDUCTION OF TAX AT SOURCE UNDER SECTION 203 OF THE INCOME TAX ACT 1961For interest on securities; dividends; interest other than interest on securities ; winnings from lottery or crossword puzzle; winnings from horse race; payments to contractors andsub-contractors; insurance commission; payments to non-resident sportsmen/sports associations; payments in respect of deposits under National Savings Scheme paymentson account of repurchase of units by Mutual Fund or Unit Trust of India; commission; remuneration or prize on sale of lottery tickets; rent; fees for professional or technicalservices; income in respect of units; payment of compensation on acquisition of certain immovable property; other sums under section 195; income of foreign companies referredto in section 196(2); income from units referred to in section 196B; income from foreign currency bonds or shares of an Indian company referred to in section 196C; income of Foreign Institutional Investors from securities referred to in section 196D.

    Name and address of the persondeducting tax

    Acknowledgment Nos. of all QuarterlyStatements of TDS under sub-section(3) of section 200 as provided by TINFacilitation Centre or NSDL web-site

    Name and address of the person toWhom payment made or in whoseaccount it is credited

    STATE BANK OF INDIACANTONMENT BRANCHLUCKNOW 226002UTTAR PRADESH

    Quarter Acknowledgment No.

    MR CHANDRA PRAKASH PANT17-B AVAS VIKAS COLONYMALL AVENUELUCKNOW

    Tax deduction account of thedeductorLKNSO5408E

    Q1

    PAN/GIR No. of the deductorAAACS8577K

    Q2

    BSR Code of Bank Branch0001132

    Q3Q4

    Nature of Payment194A

    INTEREST OTHER THAN INTERESTON SECURITIES

    PAN/GIR No .of the payeeANCPP5811DFor the period

    01/04/2010 to 31/03/2011DETAILS OF PAYMENTS,TAX DEDUCTION AND DEPOSIT OF TAX INTO CENTRAL GOVERNMENT ACCOUNT

    ACCOUNT NO AmountPaid/credited

    Date of payment/credit

    T DS Surcharge Educati oncess

    Total taxdeposited

    Date on whichTax deposited

    ChallanNo.

    30523286312

    30523286425

    3075577516930541241562

    TOTAL

    5500 . 00709 . 67

    8250 . 001064 . 513198 . 921419 . 355500 . 00

    13/07/201013/07/201013/07/201013/07/201013/07/201013/07/201025/07/2010

    Certified that a sum of Rs.477.00 ( Rs. Four Hundred Seventy Seven Only ) has been deducted at source and paid to the credit of theCentral Government as per details given above .Place : LUCKNOW Signature of the person responsible for deducting taxDate : 07/04/2011 Name :

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