FORM NO. 26H

FORM NO. 26H

[See section 194G and rule 37]

Annual return of deduction of tax from payments commission remuneration or prize on sale of lottery tickets, under section 206 of the Income-tax, Act 1961, for the year ending 31st March,……………..

(a)   Tax Deduction Account Number

(b)   Permanent Account Number

2.  Details of the person responsible for paying any income by way of commission , remuneration or prize on sale, etc., of lottery tickets, referred to section 194G:

(a)   Name /Designation

(b)   Address

Flat/Door/Block No.

Name of premises/Building

Road/Street/Lane

Area/Locality

Town/City/District

State

Pin Code

© Has address of the person responsible for paying any income by way of remuneration   Tick   as applicable Yes           No.

remuneration, or prize under section 194G changed since submitting the last return

3. Details of commission, remuneration or prize credited/paid under section 194G and tax deducted thereon :

Payee	Gross amount of commission, remuneration or prize credited/ paid during the year	Total amount of commission, remuneration or prize credited/ paid on which no tax deducted	Total amount of commission, remuneration or prize credited/ paid on which no tax deducted	Total amount of tax deducted
		Amount (Rs.)	Number of payments		Income-tax (Rs.)	Surcharge (Rs.)	Total (Rs.)
	(1)	(2)	(3)	(4)	(5)	(6)	(7)
1. Companies
2. person other than companies
Total

1. Details of tax deducted and paid to the credit of the Central Government :

2. By or on behalf of Central Government:

Sl. No.	Amount of deducted	Transfer Voucher Number	Date of Transfer Voucher
(1)	(2)	(3)	(4)
Total

(b) By person responsible for paying other than Central Government

Sl. No.	Challan Number	Date of payment	Amount of tax paid	Name and address of the bank
(1)	(2)	(3)	(4)	(5)
Total

1. Details of Commission, remuneration or prize on sale, etc., of lottery tickets, credited/paid during the year and of tax deducted at source at the prescribed rates in force :

(a) In the case of companies:

Sl. No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of commission /remuneration or prize credited /paid, (Rs.)	Date on which amount of commission/remuneration or prize  credited or paid whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit of Central Government	Tax deduction Certificate Number	Date of furnishing of tax Deduction Certificate to the company
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)
Total

       (b) In the case of  person/payee other than companies:

Sl. No.	Permanent Account Number (PAN)	Name of person/ payee	Address of the person/ payee	Amount of commission /remuneration or prize credited /paid, (Rs.)	Date on which amount of commission/remuneration or prize credited or paid whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit of Central Government	Tax deduction Certificate Number	Date of furnishing of tax Deduction Certificate to the person/ payee
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)
Total

1. Details of commission, remuneration or prize on sale, etc., of the lottery tickets, credited/paid during the year and of tax deducted at source at a lower rate or no tax deducted in accordance with section 194G(2):

(a) In the case of companies:

Sl. No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of commission /remuneration or prize credited /paid, (Rs.)	Date on which amount of commission /remuneration or prize credited or paid whichever is earlier	Rate of deduction of tax (%)	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit of Central Government	Assessing Officer’s Certificate Reference Number	Tax deduction Certificate Number	Date of furnishing of tax Deduction Certificate to the company
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)
Total

1. In the case of person/payees other than companies:

Sl. No.	Permanent Account Number (PAN)	Name of person/ payee	Address of the person/ payee	Amount of commission/remuneration or prize credited /paid, (Rs.)	Date on which amount of commission /remuneration or prize credited or paid whichever is earlier	Rate of deduction of tax (%)	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit of Central Government	Assessing Officer’s Certificate Reference Number	Tax deduction Certificate Number	Date of furnishing of tax Deduction Certificate to the person/ payee
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	(12)	(13)
Total

Verification

I, ………………………………………………………….., certify that all the particulars furnished above are correct and complete.

Place: Name and signature of the responsible for deducting tax at source……………………………………………………

Date: Designation: …………………………..

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FORM NO. 26H (English)

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