Form No. 27A
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 (From 01/07/2012 to 30/09/2012 )
1.		(a) Tax Deduction Account No.
(b) Permanent Account No.
(c) Form No.
2.	Particulars of the deductor/collector
(b) Type of deductor *
(a) Name
(d) Address
(c) Branch/division (if any)
Name of the premises/building
Flat No.
Area /Location
Road /Street /Lane
State
Town /City /District
Telephone No.
Pin Code
E-mail
(e) Assessment Year
(d) Financial year
(In case return/statement has been filed earlier)
(f) Previous receipt number
3.	Name of the person responsible for deduction/collection of tax
(a) Name
(b) Address
Name of the premises/building
Flat No.
Area /Location
Road /Street /Lane
State
Town /City /District
Telephone No.
Pin Code
E-mail
4.	Control totals
No. of deductee/party records
Sr. No.
Tax deducted/collection
Amount paid
Tax deposited (Total challan amount)
( Rs. )
( Rs. )
( Rs. )
1
5.	Total Number of Annexures enclosed
6.	Other Information
Verification
Place :
Date  :
Signature of person responsible for deducting/collecting tax at source
Name and designation of person responsible for deducting/collecting tax at source
Signature
* Mention type of deductor - Government or others
# dd/mm/yyyy :- date/month/year
I, R. T. PODDAR, hereby certify that all the particulars furnished above are correct and complete.
MUMF03289G
AAACF0858Q
FINE FELTS & FIBRE PVT. LTD. 
24Q
D-83
THANE BELAPUR ROAD
TURBHE
NAVI MUMBAI
 400705
Velvetcentre@hotmail.com
R. T. PODDAR
22/23

THANE BELAPUR ROAD
. ROAD
TURBHE
NAVI MUMBAI
400018 
1986gupta@gmail.com
2012-2013
2013-2014
R. T. PODDAR
ACCOUNTANT
NAVI MUMBAI
11/10/2012
MAHARASHTRA
MAHARASHTRA
6
120000.00
2010.00
2010.00
022 - 27614113
COMPANY
9322662094