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NATURE'S MANIA

CHENNAI - 600 029

3. Details of rent credited / paid and tax deducted theron :-


Total rent Total amount of tax deducted
Gross amount of Total rent credited /
credited / paid on
rent credited / paid paid on which no tax
which tax
payee during the year deducted Income-tax Surcharge Total
deducted
(Rs.) (Rs.) (Rs.) (Rs.) (Rs.)
(Rs.)
{1} {2} {3} {4} {5} {6}

1. Companies - - - - - -

2. Persons other than companies


260,000.00 - 260,000.00 39,000.00 1,770.00 40,770.00 ###

TOTAL 260,000.00 - 260,000.00 39,000.00 1,770.00 40,770.00 ###

40,770.00 Challan
NATURE'S MANIA
CHENNAI - 600 029

-
NATURE'S MANIA,
CHENNAI - 600 029.

4(B) By persons responsible for paying other than Central Government:


Amount of tax
Challan Number Date of Payment paid (Rs.) Name and Address of Bank
ITNS 271 6-May-2003 6,300.00 Bank of India, Main Branch
ITNS 271 7-Mar-2003 2,970.00 State Bank of India, Anna Nagar
ITNS 271 3-Mar-2003 3,150.00 State Bank of India, Anna Nagar
ITNS 271 28-Feb-2003 6,300.00 State Bank of India, Anna Nagar
ITNS 271 7-Jan-2003 6,300.00 State Bank of India, Anna Nagar
ITNS 271 7-Nov-2002 3,150.00 State Bank of India, Anna Nagar
ITNS 271 6-Nov-2002 3,150.00 State Bank of India, Anna Nagar
ITNS 271 7-Sep-2002 3,150.00 State Bank of India, Anna Nagar
ITNS 271 6-Aug-2002 3,150.00 State Bank of India, Anna Nagar
ITNS 271 5-Jul-2002 3,150.00 State Bank of India, Anna Nagar

TOTAL 40,770.00
NATURE'S MANIA,
CHENNAI - 600 029.

5. Details of rent credited/paid during the year and of tax deducted at source at the prescribed rates in force ---- (a) In the case of companies:-
Permanent Name of company Address of Company Amount of Rent Date on which Amount of tax deducted Date on which Date on which tax Tax Deduction Date of furnishing
Account credited or paid (Rs.) amount of rent (Rs.) tax deducted was paid to the Certificate of Tax Deduction
Number (PAN) credited or paid credit of the Number Certificate to the
whichever is earlier Central Govt. Company

TOTAL - -

5(b). In the case of persons / Payees other than Companies


Permanent Name of company Address of Company Amount of Rent Date on which Amount of tax deducted Date on which Date on which tax Tax Deduction Date of furnishing
Account credited or paid (Rs.) amount of rent (Rs.) tax deducted was paid to the Certificate of Tax Deduction
Number (PAN) credited or paid credit of the Number Certificate to the
whichever is earlier Central Govt. Company

2002-2003
Harrington Road,
47-069- Dr. M. S. Refer Form As per As per
Chetpet, Chennai 260,000.00 40,770.00 - 1-Jun-2003
HZ-0423 Gopalakrishnan -16A Form -16A Form -16A
- 600 031.
Enclosed

TOTAL 260,000.00 40,770.00


ORIGINAL

FORM 16 A
[See rule 31(1)(b)]

Certificate of deduction of tax at source under section 203 of the Income Tax Act, 1961
[For Interest on Securities; dividends; interest other than `Interest on Securities'; winnings from lottery or crossword
puzzle; winnings from horse race; payments to contractors and sub-contractors; insurance commission; commission;
payments to non-resident sportsmen/sports associations; payments in respect of deposits under National Savings
scheme; payments on account of repurchase of units by Mutual Fund of Unit Trust of India; commission, remuneration
or prize on sale of lottery tickets; other sums under section 195; income of foreign companies referred to in Section
196A(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 TDS Circle where Name and address of the person to whom
Person deducting tax Annual Return u/s payment made or in whose account it is credited
206 is to be delivered
Nature's Mania, Dr. M. S. Gopala Krishnan,
5th Floor, Nelson Tower III Wing, TDS CIRCLE Harrington Road, Chetpet,
117, Nelson Manickam Road, Chennai - 600 031.
Aminjikarai, Chennai - 600 029
TAX DEDUCTION A/c NO. OF NATURE OF PAN/GIR NO. OF THE PAYEE
THE DEDUCTOR PAYMENT
CHEN04011A 47-069-HZ-0423
PAN/GIR NO. OF THE DEDUCTOR Rent For the Period
AADFN0054C 01.04.2002 TO 31.3.2003
DETAILS OF PAYMENT, TAX DEDUCTION AND DEPOSIT OF TAX INTO CENTRAL GOVERNMENT ACCOUNT
DATE OF PAYMENT/ AMOUNT PAID/ AMOUNT OF INCOME RATE AT DATE & CHALLAN NO NAME OF BANK AND
CREDIT CREDITED TAX DEDUCTED WHICH OF DEPOSIT OF BRANCH WHERE
[Amount in Rupees] DEDUCTED TAX INTO CENTRAL TAX DEPOSITED
18-Apr-2002 20,000.00 3,060.00 15.30% 5-Jul-02 ITNS 271 SBI Anna Nagar-40
22-May-2002 20,000.00 3,060.00 15.30% 6-Aug-02 SBI Anna Nagar-40
21-Jun-2002 20,000.00 3,150.00 15.75% 7-Sep-02 SBI Anna Nagar-40
9-Jul-2002 20,000.00 3,150.00 15.75% 6-Nov-02 SBI Anna Nagar-40
7-Aug-2002 20,000.00 3,150.00 15.75% 7-Nov-02 SBI Anna Nagar-40
7-Oct-2002 20,000.00 3,150.00 15.75% 7-Jan-03 SBI Anna Nagar-40
10-Oct-2002 20,000.00 3,150.00 15.75% 7-Jan-03 SBI Anna Nagar-40
11-Dec-2002 20,000.00 3,150.00 15.75% 28-Feb-03 SBI Anna Nagar-40
11-Dec-2002 20,000.00 3,150.00 15.75% 28-Feb-03 SBI Anna Nagar-40
8-Jan-2003 20,000.00 3,150.00 15.75% 3-Mar-03 SBI Anna Nagar-40
11-Feb-2003 20,000.00 3,150.00 15.75% 7-Mar-03 SBI Anna Nagar-40
31-Mar-2003 40,000.00 6,300.00 15.75% 6-May-03 Bank of India, Ch-2
TOTAL 260,000.00 40,770.00
Certified that a Sum of Rupees. (in words)….…Forty thousand Seven hundred and Seventy only………
.................………………………… has been deducted at source and paid to the credit of the Central
Government. Further certified that the above information is true and correct as per records.
For Nature's Mania

Partner
Signature of the person responsible for deduction of tax
PLACE: CHENNAI Full Name : Rishi Tulsyan
DATE : 1-Jun-03 Designation : Partner

CALCULATION

1-Jun-03 260,000.00 40,770.00


15%
IT 39000 SC 1,770.00

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