Certificate of Deduction of Tax Form DOC

(Name and address of the person or the office of the person issuing the certificate)

(office letterhead may be used)

Certificate of Deduction of Tax

[(section 58 of the Income Tax Ordinance, 1984 (XXXVI of 1984)]

No.		Date
01	Name of the payee
02	Address of the payee
03	Does the payee have a Twelve-digit TIN?	Yes	No
04	Twelve-digit TIN (if answer of 03 is Yes)
05	Period for which payment is made From (date) to (date)

06. Particulars of the making of payment and the deduction of tax (add lines if necessary)

Sl	Date of payment	Description of payment	Section	Amount of payment ৳	Amount of tax deducted ৳	Remarks
1
2
Total

07. Payment of deducted tax to the credit of the Government (add lines if necessary)

Sl	Challan* Number	Challan date	Bank Name	Total amount in the challan ৳	Amount relating to this certificate ৳	Remarks
1
2
Total
In words:

  *if payment is made in any other mode specified by the Board, provide information relevant to that mode.

Certified that the information given above is correct and complete.
Name of the person issuing the certificate	Signature and seal
Designation
TCAN
Phone & E-mail	Date