00000000000020896145 File Hash 24030621311720896145 Form No. 27A Form for furnishing information with the statement of deduction / collection of tax at source ( tick whichever is applicable ) filed on computer media for the period Q3 (From 01/10/23 to 31/12/23 (dd/mm/yy)#) 1 (a) Tax Deduction Account No. (b) Permanent Account No. MUMK30214C (d) Financial Year 2023-24 COKPM8756D (e) Assessment year 2024-25 (c) Form No. (f) Previous receipt number NA (In case return/statement has been filed earlier) 3 Name of the person responsible for deduction / collection of tax 26Q 2 Particulars of the deductor / collector (a) Name (b) Type of deductor* (c) Branch / division (if any) (d) Address Flat No. Name of the premises/building Road / street / lane Area / location Town / City / District State Pin code Telephone No. E-mail KRISH SANJAY MEHTA INDIVIDUAL/HUF NA I, IMAX,, ANIK WADALA LINK ROAD, BHAKTI PARK, WADALA MAHARASHTRA 400037 KRISH@ANMALLIANCE.COM (a)Name (b)PAN (c)Address Flat No. Name of the premises/building Road / street / lane Area / location Town / City / District State Pin code Telephone No. E-mail KRISH SANJAY MEHTA COKPM8756D 521/A R.P MASANI ROAD MATUNGA MAHARASHTRA 400019 - 4 Control totals Sr. No. 1 Total Return Type No. of deductee / party (Regular / Correction type) records REGULAR 12 12 Amount paid ( ) Tax deducted / collected ( ) 540000.00 540000.00 54000.00 54000.00 Tax deposited (Total challan amount) ( ) 54000.00 54000.00 5 Total Number of Annexures enclosed 6 Other Information I, KRISH SANJAY MEHTA VERIFICATION , hereby certify that all the particulars furnished above are correct and complete. Place: Signature of person responsible for deducting / collecting tax at source Date: 06/03/2024 Name and designation of person responsible for deducting / collecting tax at source KRISH SANJAY MEHTA, PROPRIETOR * Mention type of deductor - Government or Others # dd/mm/yy :- date/month/year Generated by FVU Version 8.5