FORM NO. 26G
[See section 194F and rule 37]
Annual return of deduction of tax from payments on repurchase of units by Mutual Funds or Units Trust of India,  under section 206 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 amount referred to section 80CCB(2)	
        (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 amount referred to 		Tick 	as applicable Yes           No.
	In section 80CCB(2) changed since submitting the last return 

3	Gross amount of payment made and tax deducted thereon :

Payee	Gross amount paid during the year.  
 (Rs.)	Total amount of payment   on which no tax deducted  
(Rs.)	Total amount of payment   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.	Details of tax deducted and paid to the credit of 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 payments made under section 80CCB(2) during the year and of tax deducted at source 
(a)	 In the case of companies :
Sl No.	Permanent Account Number (PAN)	Name of company	Address of the company	Amount paid during the year
(Rs.)	Date on which  payment made	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)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		

											

Total					

(b)	In the case of persons/payee other than companies:

Sl No.	Permanent Account Number (PAN)	Name of person / payee 	Address of the person / payee 	Amount paid during the year
(Rs.)	Date on which  payment made	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 person / payee 	
(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		(1)		

											

Total					

Verification

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