FORM NO. 26A
[See section 194A and rule 37]
Annual return of deduction of tax from interest other than “Interest on securities” under section 296 of the Income-tax, 1961, for the 
year ending 31st March, …………….

1.	(a)   Tax Deduction Account Number											
											
        (b)   Permanent Account Number											
																		
2.  Details of the person responsible for paying any income by way of interest other than interest on         securities	
        (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 interest 		Tick 	as applicable Yes           No.
	Other than “Interest on securities” changed since submitting the last return 

3	Details of total interest credited / paid and tax deducted thereon :

Payee	Gross amount of interest paid during  the year (Rs.)	Total amount of interest on which no tax deducted  
(Rs.)	Total amount of interest on which tax deducted 
(Rs.)	Total amount of tax deducted	
				Income-tax (Rs.)	Surcharge (Rs.)	Total 
 (Rs.)	
	(1)	(2)	(3)	(4)	(5)	(6)	
1. Companies 							
2. Person other than companies							
Total							

4.  (a)Total amount of interest on which no deduction was made in accordance with 											
          the provision of section 194A(3)(iii) and section  196											
											
     (b)Total amount of interest on which no deduction was made in accordance with 											
          the provision of section 194A(3)(i)											
											
     ©Total number of payees to whom interest was paid without deduction of tax in 											
         accordance with the provision of section 194A(3)(i)											
											
     (d)Total amount of interest on which no deduction was made in accordance with 											
     the provision of section 197A(1A)											
											
     (e)Total number of payees to whom interest was paid without deduction of tax in 											
          accordance with the provision of section 197A(1A)		

5.	Details of tax paid to the credit of Central Government 
(a)	By or on behalf of central Government 
Sl. No.	Amount Deducted (Rs.)	Transfer Voucher Number	Date of transfer Voucher	
(1)	(2)	(3)	(4)	

				
				
Total				

(b)	By persons responsible for paying other than Central Government :
Sl. No.	Challan No.	Date of payment	Amount of tax paid
(Rs.)	Name and address of bank	
(1)	(2)	(3)	(4)	(5)	

					
					
Total			

5.	Details of interest credited/paid during the financial year and of tax deducted at source at other prescribed  rates in force :-
(b)	Interest credited/paid to companies :
Sl No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of interest (Rs.)	Date on which interest credited or paid, whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credited 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)	Interest credited/paid to persons/payee other than companies:
Sl No.	Permanent Account Number (PAN)	Name of person / payee	Address of the person / payee	Amount of interest (Rs.)	Date on which interest credited or paid, whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credited 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					
7.	 Details of interest credited/ paid during the financial year and of the tax deducted at source at a lower rate or no tax deducted in accordance with section     197 :
(a)	Interest credited/paid to companies :
Sl No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of interest (Rs.)	Date on which interest credited or paid, whichever is earlier	Rate of deduction of tax (Rs.)	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credited of Central Government	Tax deduction Certificate Number	Assessing officer’s Certificate Reference 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						
(b)	Interest credited/paid to persons/payee other than companies:
Sl No.	Permanent Account Number (PAN)	Name of person/ payee	Address of the person/ payee	Amount of interest (Rs.)	Date on which interest credited or paid, whichever is earlier	Rate of deduction of tax (Rs.)	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credited of Central Government	Tax deduction Certificate Number	Assessing officer’s Certificate Reference 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						

8.	Amount of interest credited/paid without deduction of tax during the financial year on furnishing declaration under section 197A(1A) :

Sl. No	Permanent Account Number(PAN)	Name of person/payee	Address of the person/payee	Amount of interest 
(Rs).	Date(s) of credit or payment of interest	Date on which the declaration was furnished to the person responsible for paying the interest	Date on which the declaration was furnished to Commissioner of income tax / Chief Commissioner of income tax	
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	

Total			

Verification
I, certify that –
(i)	this return contains a complete list of persons to whom interest or aggregate interest  exceeding Rs. 2,500 (regardless of any interest received from them) was paid during the period 1st April, …… to 31st March, …….,
(ii)	all the particulars furnished above are correct and complete.
Place: 				Name and signature of the person responsible for deducting tax at source………………………...
Date: 				Designation ………………………………..