Quarterly return for the quarter ended June / September / December / March (tick whichever applicable of the financial year in respect of payment of interest to residents without deduction of tax under Section 206A

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..... (c) Financial Year (d) Assessment Year 2. Particulars of the payer : (a) Name .....

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..... (i) Flat/Premises No. (ii) Name of the premises/building .....

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..... (vi) State .....

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..... 1. Name (302) 2 [ Permanent Account Number or Aadhaar Number ] * (303) Date of Birth** (304) .....

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..... Pin Code (311) 2. * Mention NA where Permanent Account Number or Aadhaar Number is not available. **Mention NA where Date of Birth is not available. *** Time deposits to be reported in Form No. 26Q (rule 31A) not to be included in this Form. **** Write 1 for encashment during the Quarter .....

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