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Form No. 143

Quarterly statement of collection of tax at source under section 397(3)(b) for the quarter ended… (June/September/December/March) … (Tax Year)

Prescribed under rule 219(1)[Table: Sl. No. 4] · Rule 219

Row No.

Part A: Particulars ofthe Collector

1.

Type of Collector

● Government

● Non-Government

2.

Name

(refer Note 1)

3.

Address

(refer Note 2)

4.

Permanent Account Number

(refer Note 3)

5.

Tax Deduction and Collection Account Number

6.

E-mail id

7.

Contact Number

Country Code

Number

8.

Tax year

9.

Has the statement been filed earlier for this quarter

Yes/No

10.

If answer to Row No. (9) is “Yes”, then Return Receipt Number of original statement

11.

If collector is Government Collector, please mention AIN of PAO/DTO/CDDO code

Particulars of the person responsible for collection of tax

12.

Name

(refer Note 1)

13.

Address

(refer Note 2)

14.

Permanent Account Number

15.

E-mail id

16.

Contact Number

Country Code

Number

Part B

1.

Details of the tax collected and paid to the credit of the Central Government:

Sl.

No.

Total

Tax

(refer

Note

4)

Total

interest

Total

fee

(refer

Note

5)

Total

Penalty

/ Others

Total amount

deposited as

per challan /

Total amount

adjusted

through

Book

Adjustment

(B+C+D+E)

(refer Note

6)

Mode of

payment of

tax

(by way of

challan/by

way of

book

adjustment

(refer Note

7)

BSR

code/

Receipt

Number

of Form

No. 137

(refer

Note 8)

Date on which

amount

deposited

through

challan/ Date

of transfer

voucher

(dd/mm/yyyy)

(refer Note 8)

Challan

Serial

No. /

DDO

Serial

No. of

Form

No. 137

(refer

Note 8)

Minor

Head of

Challan

(refer

Note 9)

A

B

C

D

E

F

G

H

I

J

K

2.

Details of amount received and tax collected thereon from the collectees (see Annexure)

DECLARATION

I, … .. (name of the person responsible for collecting tax at source), having Permanent Account Number … … ., am the person responsible for collecting tax at source in the case of … … .. (name of the collector).

I certify that all the particulars furnished above are correct and complete.

Place: Signature of the person responsible

for collecting tax at source:

Date: Name:

Designation:

Notes:

1. (a) In case of individual, the first, middle and last name shall be provided in full without any abbreviations. In any other case also, name shall be provided in full.

(b) ln case of Central Government, please mention name of Ministry/Department. In case of State Government, please mention name of the State.

2. The address shall contain i. Country/Region, ii. Flat/Door/Block number iii. Road/Street/Block/Sector, iv. PIN/ZIP Code, v. Post Office, vi. Area/locality, vii. District, viii. State.

3. It is mandatory for non-Government collectors to quote Permanent Account Number. In case of Government col- lectors, Permanent Account Number should be mentioned as “PANNOTREQD".

4. In column (B), total tax shall be sum of amount of tax collected, surcharge and health & education cess.

5. Fee paid under section 427 for late filling of TCS statement to be mentioned in separate column of 'Total Fee' [col- umn (D)].

6. In column (F), Government DDOs to mention the amount remitted by the PAO/CDDO/DTO. Other collectors to write the exact amount deposited through challan.

7. In column (G), Government collectors to write "B" where TDS is remitted to the credit of Central

Government through book adjustment. Other collectors to write “C” .

8. Challan/Transfer Voucher (CIN/BIN) particulars, i.e. (H), (I) and (J) should be exactly the same as available at TIN 2.0/TRACES portal.

9. In column (K), mention minor head as marked on the challan. 10. Amounts to be filled in ₹ unless otherwise provided

ANNEXURE: COLLECTEES WISE BREAKUP OF TCS

Details of amount received/debited during the quarter ended (dd/mm/yyyy) and of tax collected at source

Sl.

N

o.

Challan

Referen

ce No.

(Colum

nA of

Sl. No.

I of

Part B)

Perman

ent

account

number

Na

me

Wheth

er

non-

reside

nt

(Y/N)

Collecte

e code

(applica

ble

where

collectee

is non-

resident)

(refer

Note 8)

Whether

collectee

has a

permanent

establishm

ent in

India

(applicabl

e where

collectee

is non-

resident)

(yes/No)

Wheth

er

collect

ee

opting

out of

taxatio

n

regim

e

under

sectio

n

202(1)

?

Amou

nt

receiv

ed

/

Debite

d

Date on

which

amount

received/

debited

(dd/mm/yy

yy)

Collecti

on

Code

(refer

Note

9 )

Total

tax

collect

ed

(refer

Note

10)

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

(J)

(K)

(L)

Whether

total

amount of

tax

collected

as

mentioned

in column

(L) has

been

deposited

(Yes/No)

Total tax

deposited

Date of

collection

(dd/mm/yyyy)

Rate at

which

tax

collected

Reason

for lower

collection/

collection

at higher

rate

(refer

Note 1 to

7)

Certificate

number of

certificate

issued

under

section

395(3) for

lower

collection

of tax

Whether the

payment by

collectee is liable to

TDS as per section

394(5) and whether

TDS has been

deducted from such

payment [if “F” is

selected in column

(Q)] (Yes/No)

If answer to (S) is yes, then

Challan

number

Date of

payment of

TDS to

Central

Government

(M)

(N)

(O)

(P)

(Q)

(R)

(S)

(T)

(U)

DECLARATION

I, … .. (name of the person responsible for collecting tax at source), having Permanent Account Number … … ., am the person responsible for collecting tax at source in the case of … … .. (name of the collector).

I certify that all the particulars furnished above are correct and complete.

Place: … .. Signature of the person responsible for

collecting tax at source

Date: Name:

Designation:

Notes:

1. Write "A" if "lower collection" is on account of a certificate under section 395(3).

2. Write "B" if "non-collection" is on account of furnishing of declaration under section 394(2).

3. Write "C" if collection is at higher rate under section 397(2) on account of non-furnishing of PAN.

4. Write "F" if no collection is on account of section 394(5) or section 402(6) [Table: Sl. No. 4 and 5, Column D].

5. Write “K” if no collection as per the provisions of section 394(4).

6. Write “Y” if no collection is on account of receipt equal to or below threshold limit as specified in section 394(1) [Table: Sl. No. 7].

7. Write “Z” if no collection or lower collection is in view of notification issued under section 400(1).

8. List of Collectee Codes:

Sl. No.

Status

Description

1

01

Company

2

02

Individual

3

03

Hindu undivided family

4

04

Association of Persons (AOP) except in case ofAOP consisting of only companies as its members

5

05

Association of Persons (AOP) consisting of only companies as its members

6

06

Co-operative society

7

07

Firm

8

08

Body of individuals

9

09

Artificial juridical person referred to in clause (g) of sub-section (77) of section 2

10

10

Others

9. Write collection code as mentioned below:

Section

Nature of Receipt

Person

responsible for

collection

Section

code

394(1) [Table:

Sl. No. 1]

Sale of alcoholic liquor for human consumption.

Seller

1068

394(1) [Table:

Sl. No. 2]

Sale oftendu leaves

Seller

1069

394(1) [Table:

Sl. No. 3]

Sale of timber obtained under a forest lease

Seller

1070

394(1) [Table:

Sl. No. 3]

Sale of timber obtained by any mode other than a forest lease

Seller

1071

394(1) [Table:

Sl. No. 3]

Sale of any other forest produce (not being timber or tendu leaves) obtained under a forest lease.

Seller

1072

394(1) [Table:

Sl. No. 4]

Sale of scrap.

Seller

1073

394(1) [Table:

Sl. No. 5]

Sale of minerals, being coal or lignite or iron ore.

Seller

1074

394(1) [Table:

Sl. No. 6.D(a)]

Sale consideration exceeding threshold limit in case of sale of motor vehicle

Seller

1075

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of wrist watch

Seller

1076

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of art piece such as antiques, painting, sculpture

Seller

1077

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of collectibles such as coin, stamp

Seller

1078

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of yacht, rowing boat, canoe, helicopter

Seller

1079

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of pair of sunglasses

Seller

1080

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of bag such as handbag, purse

Seller

1081

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of pair of shoes

Seller

1082

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of sportswear and equipment such as golf kit, ski-wear

Seller

1083

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of home theatre system

Seller

1084

394(1) [Table:

Sl. No. 6.D(b)]

Sale consideration exceeding threshold limit in case of sale of horse for horse racing in race clubs and horse for polo

Seller

1085

394(1) [Table:

Sl. No. 7.D(a)]

Remittance under the Liberalised Remittance Scheme of an amount or aggregate of the amounts exceeding threshold limit for purposes of education or medical treatment

Authorised

dealer

1086

394(1) [Table:

Sl. No. 7.D(b)]

Remittance under the Liberalised Remittance Scheme of an amount or aggregate of the amounts exceeding threshold limit for purposes other than education or medical treatment

Authorised

dealer

1087

394(1) [Table:

Sl. No. 8.D(a)]

Sale of “overseas tour programme package” including expenses for travel or hotel stay or boarding or lodging or any such similar or

related expenditure with amount or aggregate of amounts up to threshold limit.

Seller

1088

394(1) [Table:

Sl. No. 8.D(b)]

Sale of “overseas tour programme package” including expenses for travel or hotel stay or boarding or lodging or any such similar or

related expenditure with amount or aggregate of amounts above threshold limit.

Seller

1089

394(1) [Table:

Sl. No. 9]

Use of parking lot for the purpose of business, excluding mining and quarrying of mineral oil (including petroleum and natural gas).

Seller

1090

394(1) [Table:

Sl. No. 9]

Use of toll plaza for the purpose of business, excluding mining and quarrying of mineral oil (including petroleum and natural gas).

Seller

1091

394(1) [Table:

Sl. No. 9]

Use of mine or quarry for the purpose of business, excluding mining and quarrying of mineral oil (including petroleum and natural gas).

Seller

1092

10. In column (L), total tax deducted shall be sum of amount of tax collected, surcharge and health & education cess.

11. Amounts to be filled in ₹ unless otherwise provided.

Source: Income-tax Rules, 2026, Appendix III – notified by the CBDT vide G.S.R. 198(E) dated 20 March 2026. Reproduced for reference; the layout of the official Gazette form may differ slightly. Please verify with the official notification.

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