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Compliance Format

Form 27D Format — Certificate of Tax Collected at Source

Form 27D certifies the amount of tax collected at source and deposited against the collectee’s PAN.

FORM 27D — CERTIFICATE OF TAX COLLECTED AT SOURCE

Issued under Section 206C read with Rule 37D of the Income-tax Rules, 1962, for tax collected at source and paid to the credit of the Central Government.

Name & address of the collector[Seller Pvt Ltd, Address, PIN]
TAN of the collector[BLRC12345D]
PAN of the collector[AAACS1234K]
Name & address of the collectee[Buyer / Party name, Address]
PAN of the collectee[ABCPB4567L]
Financial year / Assessment year[2024-25] / [2025-26]

Summary of tax collected and deposited

QuarterAmount received / debited (Rs.)TCS rate %Tax collected (Rs.)Date of collectionChallan / BSR & date of deposit
Q1[10,00,000][0.1%][1,000][15/06/2024][0012345 — 07/07/2024]
Q2[8,00,000][0.1%][800][12/09/2024][0012678 — 07/10/2024]
[Q_][__________][____][________][__________][________________]
Total[18,00,000]—[1,800]——

Verification: I, [Name], son/daughter of [Name], in the capacity of [Designation], certify that the above information is true and complete.

Compliance note: Form 27D is generated from TRACES after filing the quarterly TCS return in Form 27EQ and must be issued to the collectee within 15 days from the due date of furnishing the statement.

Before you use it — fill in / check

  • Collector TAN
  • Collectee PAN
  • Amount received
  • TCS rate
  • Tax collected
  • Challan / BSR

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.