FORMN0.
16
[See rule 31(l)(a)]
PART A
Certificate under Section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/inter
section 194P
Certificate No. Last upd
Name and address of the Employer/Specified Bank Name and address of the Employee/Spec
PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior Employee Re
citizen Employer/Pe
Employer (If
CIT (TDS) Assessment Year Per
The Commissioner of Income Tax (TDS)
110/25-26, 80 ft road, Ashok nagar, Opp. Sant Paul School , Kanpur - 20800 I
2025-26
Summary of amount paid/credited and tax deducted at source thereon in respect of the employee
Receipt Numbers of original quarterly Amount of tax deducted (Rs.)
statements of TDS under sub-section (3)
Quarter(s) of Section 200 Amount paid/credited
Ql
Q2
Q4
Total (Rs.)
I. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUGH BOO
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Tax Deposited in respect of the deductee
Book Identification Number (BIN)
(Rs.)
SI.No. Receipt Numbers of Form No. DDO serial number in Form no. Date of tra
24G 24G (dd/mm/yy
Total (Rs.)
II. DETAILS OF TAX DEDUCTED AND DEPOSITED IN THE CENTRAL GOVERNMENT ACCOUNT THROUG
(The deductor to provide payment wise details of tax deducted and deposited with respect to the deductee)
Tax Deposited in respect of the deductee
(Rs.) Challan Identification Number (CIN)
SI.No.
BSR Code of the Bank Branch Date on which Tax deposited Challan Serial N
(dd/mm/yyyy)
2
3
4
5
Certificate Number: AKMOYLA TAN ofEmployer: MRTJ02807A PAN of Employee: BKIPG8836M Assessment Year: 2025-26
Tax Deposited in respect of the deductee Challan Identification Number (CIN)
(Rs.)
SI.No.
BSR Code of the Bank Branch Date on which Tax deposited Challan Serial N
(dd/mm/yyyy)
6 0.00 29-Apr-2025
Total (Rs.) 40000.00
Verification
I, , son/ daughter of working in the capacity of DIRECTOR (designation) do hereby certify that a sum of Rs. has been deducted and a s
credit of the Central Government. I further certify that the information given above is true, complete and correct and is based on the books of account, documents
available records.
Place
(Signature of person responsible for deduc
Date
Designation: DIRECTOR Full Name:
Notes:
I. Part B (Annexure) of the certificate in Fonn No. I 6 shall be issued by the employer.
2. lf an assessee is employed under one employer during the year, Part 'A' of the certificate in Fot111No. I 6 issued for the quarter ending on 31st March of the financial year sh
of the financial year.
3. lfan assessee is employed under more than one employer during the year, each of the employers shall issue Part A of the certificate in Fot111 No.16 pertaining to the period f
(Annexure) of the certificate in Form No. 16 may be issued by each of the employers or the last employer at the option of the assessee.
4. To update PAN details in Income Tax Department database, apply for 'PAN change request' through NSDL or UTTTSL.
Legend used in Form 16
* Status of matching with OLTAS
Legend Description Definition
u Unmatched Deductors have not deposited taxes or have furnished incorrect particulars of tax payment. Final credit will be reflected only when
deposit in TDS / TCS statement
p Provisional Provisional tax credit is effected only for TDS I TCS Statements filed by Government deductors."P" status will be changed to Fin
by Pay and Accounts Officer (PAO)
F Final In case of non-government deductors, payment details of TDS / TCS deposited in bank by deductor have matched with the paymen
filed by the deductors. In case of government deductors, details ofTDS / TCS booked in Government account have been verified b y
0 Overbooked Payment details ofTDS / TCS deposited in bank by deductor have matched with details mentioned in the TDS / TCS statement but
(F) credit will be reflected only when deductor reduces claimed amount in the statement or makes new payment for excess amount
est income of specified senior citizen under
ated on
ified senior citizen
ference No. provided by the
nsion Payment order no. provided by the
available)
iod with the Employer
From To
01-Apr-2024 31-Mar-2025
Amount of tax deposited/ remitted (Rs.)
K ADJUSTMENT
nsfer voucher Status of matching with
yy) Form no. 24G
H CHALLAN
umber Status of matching with
OLTAS*
umber Status of matching with
OLTAS*
um of Rs. has been deposited to the
, TDS statements, TDS deposited and other
tion of Tax)
all contain the details of tax deducted and deposited for all the quarters
or which such assessee was employed with each of the employers. Part B
payment details in bank match with details of
al (F) on verification of payment details submitted
t details mentioned in the TDS I TCS statement
Pay & Accounts Officer (PAO)
the amount is over claimed in the statement. Final
claimed in the statement