Statement of Tax Deducted or Collected under Chapter VII

Statement of Tax Deducted or Collected under Chapter VII

of the Income Tax Ordinance, 1984 (XXXVI of 1984)

For the Month of:

Name of the person or the office of the person by whom tax was deducted or collected:

Address:

	Particulars of the Person  from whom tax is deducted/collected			Date of tax deduction/ collection	Source of deduction/ collection
Sl. No	Name	Address	TIN
1	2	3	4	5	6

                                                           

Section	Amount of tax deducted/collected	Payment to the credit of the Government				Remarks
		Challan* No	Challan Date	Bank Name	Amount
7	8	9	10	11	12	13

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

Signature and Seal

Name:

Designation:

TCAN :

Phone & E-mail:

Date of Signature (DD-MM-YYYY):