Sample Filled Form no.27 c of Income Tax see rule 37c in doc / Excel/Pdf ( Can be used for TCS)
Verification
FORM NO.27C
[See rule 37C]
Declaration under sub-section (1A) of section 206C of the Income Tax Act, 1961 to be made by a buyer for obtaining goods without collection of tax
PART – I
I, Amir Khan, son of Late Jaheer Khan of Rocket Sales Ltd. resident of 12/1 Binani Street, Khapoli – 456 654, do hereby declare –
1. that *my / our present occupation is President (Finance)
2. that Coke obtained by any mode other than under Mining lease is to be utilized for the purpose of manufacturing / processing / producing articles or things and not for trading purposes;
3. that we are assessed to income-tax by the Assessing Officer ----/CIRCLE--- Khapoli and the permanent account number allotted to us is (Company Pan No).
Signature of the declarant |
Verification
I, Amir Khan do hereby declare that to the best of my knowledge and belief what is stated above is correct, complete and is truly stated.
Verified today, the 24th day of March, 2013.
Signature of the declarant |
Place : Mumbai (Khapoli)
PART – II
[For use by the person to whom the declaration is furnished)
1 | Name and address of the person responsible for collecting tax at the time of the sale of the goods referred to in paragraph 2 | : | ---------------------------- |
2 | Date on which the declaration was furnished by the declarant | : | |
3 | Date of debiting of the amount payable by the buyer to the account of the buyer or receipt of the amount payable from the buyer in cash or by issue of a cheque or draft or by any other mode | : |
Forwarded to the Chief Commissioner or Commissioner of Income-tax ____________________
Place ; _______________
Date : _______________
Signature of the person responsible for collecting tax at the time of the sale of the goods referred to in paragraph 2 |
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