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Form 26a - Form For Furnishing Accountant Certificate Under The First Proviso To Sub-Section Page 2

payment payment or

which tax was

paid or

tax

deducted, if any

credit

deductible

credited

deductible

Amount

Date of

deducted

deduction

(ii) The payee, who is a resident, has furnished his return of income for the assessment

year

relevant to the payment referred to in (i) above. The details of return

of income filed by the payee are as under -

Date

Mode of

Acknowledgement

If paper return

Amount of

Tax due on

Details

designation and

filing i.e.

number of return

total

the income

of tax

address of the

filing

whether e-

filed

taxable

declared in

paid

Assessing

return

filed or

income as

the return

Officer

paper

per return

return

filed

(iii) The payee has taken into account the sum referred to in (i) for computing his taxable

income in return of income filed by him the details of which are as under -

Receipt on

Head of Income

Gross receipt under the

Amount of taxable income

which Tax has

under which the

head of income under

under the head of income

not been

receipt is

which the receipt is

under which the receipt is

deducted

accounted for

(iv) It has been ensured that the information furnished is true and correct in all respects

and no relevant information has been concealed or withheld

(v) Neither I, nor any of my partners, is a director, partner or an employee of the above

mentioned entities or its associated concerns

I/we* fully understand that any statement made in this certificate, if proved incorrect or

false, will render me/us* liable for any penal or other consequences as may be prescribed

in law or is otherwise warranted

(Signature and Stamp/Seal of the Signatory)

†Accountant

Place

Name of the Signatory

Date

Full Address

Membership No.

Notes:

1. *Delete whichever is not applicable

2. †This certificate is to be given by -

Printed from

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Form 26a - Form For Furnishing Accountant Certificate Under The First Proviso To Sub-Section Page 2

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