| Notes
: Indicate the appropriate Form No.
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| Check List |
| 1. |
This form is required to be furnished with the return of collection of tax at source filed on computer media under section 206C (5B) and 206C (5C) of the Income-tax Act, 1961. |
| 2. | The persons filing returns on computer media is to fill up and sign this form. |
| 3. | This form should be furnished to the designated ITO or the ITO within whose jurisdiction the office of the person responsible for collecting the tax falls. |