FORM NO. 26-I
[See section 194G and rule 37]
Annual return of deduction of tax from  commission (not being insurance commission) or brokerage, under section 206 of the Income-tax, Act 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  commission or brokerage referred to section 194H:	
        (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 commission	  Tick	 			as applicable Yes           No.
	or brokerage referred to in section 194H changed since submitting the last return

3.	Details of commission, (not being insurance commision) or brokerage credited/paid and tax deducted thereon :
Payee	Gross amount of commission, (not being insurance commision) or brokerage credited/ paid during the year
(Rs)	Total amount of commission,( not being insurance commision) or brokerage credited/ paid on which no tax deducted

(Rs.)	Total amount of commission, (not being insurance commision) or brokerage credited/ paid on which no 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.	Details of tax deducted and paid to the credit of the Central Government :
(a)	By or on behalf of Central Government:
Sl. No.	Amount of deducted
(Rs)	Transfer Voucher Number	Date of Transfer Voucher	
(1)	(2)	(3)	(4)	

				
				
Total				

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

Total			

5.	Details of Commission, , (not being insurance commision) or brokeragereferred to in section 194H credited/paid during the year and of tax deducted at source at the prescribed rates in force :
(a)	In the case of companies:
Sl. No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of commission ,(not being insurance commision) or brokerage credited /paid, 
(Rs.)	Date on which amount of commission, (not being insurance commision) or brokerage credited or paid whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit 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)	In the case of  person/payee other than companies:
Sl. No.	Permanent Account Number (PAN)	Name of person/ payee	Address of the person/ payee	Amount of commission , (not being insurance commision) or brokerage credited /paid, 
(Rs.)	Date on which amount of commission, (not being insurance commision) or brokerage credited or paid whichever is earlier	Amount of tax deducted (Rs.)	Date on which tax deducted	Date on which tax was paid to the credit of Central Government	Tax deduction Certificate Number	Date of furnishing of tax Deduction Certificate to the person/ payee	
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)	

											

Total					

6.	Details of commission, , (not being insurance commision) or brokerage referred to in section 194H which has been credited or paid during the year and of tax deducted  in accordance with section 194H(2):
(a) 	In the case of companies:
Sl. No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount of commission , (not being insurance commision) or brokerage credited /paid, 
(Rs.)	Date on which amount of commission , (not being insurance commision) or brokerage credited or paid whichever is earlier	
(1)	(2)	(3)	(4)	(5)	(6)	

						
						
Total			
(b)	In the case of person/payees other than companies:
Sl. No.	Permanent Account Number (PAN)	Name of person/payees	Address of the person/payees	Amount of commission , (not being insurance commision) or brokerage credited /paid, 
(Rs.)	Date on which amount of commission , (not being insurance commision) or brokerage credited or paid whichever is earlier	
(1)	(2)	(3)	(4)	(5)	(6)	

						
						
Total			

Verification
I, ………………………………………………………….., certify that all the particulars furnished above are correct and complete.
Place:				Name and signature of the responsible for deducting tax at source……………………………………………………
Date:				Designation: …………………………..