File Hash 00000000000065800645

18110516000665800645

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 Q2
(From 01/07/18 to 30/09/18 (dd/mm/yy)#)
1 (a) Tax Deduction Account No. BLRK00717D (d) Financial Year 2018-19
(b) Permanent Account No. AAATK8214C (e) Assessment year 2019-20
(c) Form No. 26Q (f) Previous receipt number NA
(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
KTK SMALL SCALE INDUSTRIES (a)Name RAVIKIRAN KULKARNI
(a) Name
ASSOCIATION (b)PAN AGSPK2683F
(b) Type of deductor* ASSOCIATION OF PERSON (TRUST) (c)Address
(c) Branch / division (if any) NA Flat No. 2/106
(d) Address Name of the premises/building 17TH CROSS
Flat No. 2/106 Road / street / lane MAGADI CHORD ROAD
Name of the premises/building 17TH CROSS Area / location VIJAYANAGAR
Road / street / lane MAGADI CHORD ROAD Town / City / District BANAGLORE
Area / location VIJAYANAGAR State KARNATAKA
Town / City / District BENGALURU Pin code 560040
State KARNATAKA Telephone No. 80-23353250
Pin code 560040 E-mail PRESIDENTKASSIA@GMAIL.COM
Telephone No. 80-23353250
E-mail PRESIDENTKASSIA@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 REGULAR 59 4689919.00 112186.00 112278.00
Total 59 4689919.00 112186.00 112278.00
5 Total Number of Annexures enclosed
6 Other Information
VERIFICATION
I, RAVIKIRAN KULKARNI , hereby certify that all the particulars furnished above are correct and complete.
Place: BENGALURU Signature of person responsible for deducting / collecting tax at source
Date: 05/11/2018 Name and designation of person responsible for deducting / collecting tax at source RAVIKIRAN KULKARNI, SECRETARY
* Mention type of deductor - Government or Others
# dd/mm/yy :- date/month/year

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