FORM NO. 138 [See Rule 219 - Statement of deduction or collection of tax at source under section 397(3)(b)[Table: Sl. No. 1]] Quarterly statement of deduction of tax under section 397(3)(b) of the Act in respect of salary paid to employee under section 392, or income of specified senior citizen under section 393(1) [Table: Sl. No. 8(iii)], for the quarter ended ……….. (June/September/December/March) ……. (Tax Year)]

PART A
Row No.Particulars of the deductor
1.Type of deductor 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.Email id
7.Contact numberCountry CodeNumber
8.Tax year
9.Has the statement been filed earlier for this quarterYes/No
10.If answer to (9) is yes, then Return Receipt Number of
original statement
11.If Government deductor/payer, please mention AIN of
PAO/DTO/CDDO
Particulars of the person responsible for deduction of tax
12.Name(refer Note 1)
13.Permanent Account Number
14.Address(refer Note 2)
15.Email id
16.Contact numberCountry CodeNumber
PART B: Details of tax Deducted at source and paid to the credit of the Central Government
1.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)
ABCDEFGHIJK
2.Details of salary paid and tax deducted thereon––
(i) enclose Annexure-I along with each statement having details of relevant quarter in the case of employee and specified
senior citizen.
(ii) enclose Annexure -II along with the last statement i.e. for the quarter ending 31st March having details for the whole tax
year in the case of employee.
(iii) enclose Annexure -III along with the last statement i.e. for the quarter ending 31st March having details for the whole tax
year in the case of specified senior citizen.

DECLARATION I, ….. (name of the person responsible for deducting tax at source), having Permanent Account Number……., am the person responsible for deducting tax at source in the case of …….. (name of the deductor). I certify that all the particulars furnished above are correct and complete. Place: ….. Signature of the person responsible for deducting 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 deductors/payers to quote Permanent Account Number. In case of Govern- ment deductors/payers, Permanent Account Number should be mentioned as ―PANNOTREQD”.

  4. In column (B), total tax shall be sum of amount of tax deducted, Surcharge and Health & Education Cess.

  5. Fee paid under section 427 for late filling of TDS statement to be mentioned in separate column of ‘Total Fee’ (column D).

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

  7. In column (G), Government deductors/payers to write “B” where TDS is remitted to the credit of Central Government through book adjustment. Other deductors/payers to write ―C‖.

  8. Challan/Transfer Voucher (CIN/BIN) particulars, i.e. H, I, 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 I: DEDUCTEE WISE BREAKUP OF TDS Details of salary paid and tax deducted therefrom from the employees/specified senior citizen

Sl. No .Challan Referenc e No. (Sl. No. of Table (Sl. No. A) in Part BPermanen t Account Number of the employee/ specified senior citizenName of the employee/ specified senior citizenEmployee reference number provided by employer/ PPO number, if availableSection Code (refer Note 1)Date of payment / credit (dd/mm/yyyy )Date of deduction (dd/mm/yyyy )Amount Paid or Credite d
(A
)
(B)(C)(D)(E)(F)(G)(H)(I)
Total Tax
Deducted
(refer Note 2)
Whether total
amount of tax
deducted as
mentioned in
column (J) has
been deposited
(Yes/No)
Total
Tax
deposite
d
Date of
deposit
(dd/mm/yyyy
)
Reason for
non-deduction /
lower
deduction/
higher
deduction
(refer Notes 3
and 4)
Certificate number of the
certificate issued under
Section 395 - Certificates section 395(1) for non-
deduction/lower deduction
(J)(K)(L)(M)(N)(O)

DECLARATION I, ….. (name of the person responsible for deducting tax at source), having Permanent Account Number ……., am the person responsible for deducting tax at source in the case of …….. (name of the deductor). I certify that all the particulars furnished above are correct and complete. Place: ….. Signature of the person responsible for deducting tax at source: Date: ….. Name: ……

Designation: ……

Notes:

  1. List of section codes is as under:
SectionNature of PaymentSection Code
392Payment to Government employees other than Union Government
employees
1001
392Payment to employees other than Government employees1002
392Payment to Indian Government employees1003
393(1) [Table: Sl. No.
8(iii)]
Payment to Specified Senior Citizen1032
  1. In column (J), total tax shall be sum of amount of tax deducted, Surcharge and Health & Education Cess.

  2. Write “A” if ―lower deduction‖ or ―no deduction‖ is on account of a certificate issued under section 395(1).

  3. Write “C” if deduction is at a higher rate under section 397(2) on account of non-furnishing of PAN.

ANNEXURE II: Details of salary paid or credited during the Tax year …………. and net tax payable (under section 392)

Sl. No .Perma- nent Account Number of the employ- eeName of the employ- eeWheth er opt- ing out from taxa- tion under section 202(1) [Yes / No]Deductee type (Sen- ior Citi- zen/Super Senior Citi- zen/ Others)Date from which em- ployed with current em- ployer in the current Tax Year (dd/mm/yyy y)Date up to which em- ployed with current employer in the current Tax Year (dd/mm/yyy y)(a) Gross Sala- ry as per sec- tion 16(b) Value of per- quisites under section 17 (as per Form No. 123, wherever applica- ble)(c) Prof- its in lieu of salary under section 18 (as per Form No. 123, wherever applica- ble)Total amount of gross salary received from current em- ployer (refer Note 1) (H+I+J)
ABCDEFGHIJK
Reported total amount of salary received from other employ- er(s) under Section 392 - Salary and Accumulated Balance Due to an Employee section 392(4)(a)(i ) (see Note 1 for defi- nition of salary)Travel conces- sion or assistance under section 11, Schedule III [Table: Sl. No. 8]House rent allow- ance under section 11, Schedule III [Ta- ble: Sl. No. 11]Permanent Account Number of land- lord(s), if exemption is claimed under section 11, Schedule III [Table: Sl. No. 11] (refer Note 3)Other special allowanc- es under section 11, Schedule III [Ta- ble: Sl. No. 12 and 13]Amount of any other salary compo- nent which is exempt under section 11Total amount of exemption claimed under sec- tion 11 (M+N+P+ Q)Tax on employ- ment under section 19(1) [Ta- ble: Sl. No. 1]Standard deduc- tion under section 19(1) [Table: Sl. No. 2]Gratuity under section 19(1) [Table: Sl. No.3,4,5,6 ]
LMNOPQRSTU
Com- muted value of pension under section 19(1) [Table: Sl. No. 7,8,9]Compensa- tion as received by workmen under sec- tion 19(1) [Table Sl. No. 10,11]Amount received on vol- untary retire- ment or termina- tion of service under section 19(1) [Table Sl. No. 12]Cash equiva- lent of leave salary encash- ment under section 19(1) [Table: Sl. No. 13,14]Income chargea- ble un- der the head “Sala- ries” [(K + L) - (R + S + T + U + V + W + X + Y)]Any loss from house property reported by em- ployee as per Section 392 - Salary and Accumulated Balance Due to an Employee section 392(4)(a)(i ii)Perma- nent Account Number of lend- er(s), if interest on hous- ing loan is claimed under section 22(b) (refer Note 4)Amount chargeable under any other head of income offered for TDS as per sec- tion 392(4)(a)( iv)Gross Total In- come (Z - AA + AC)Deduction in respect of life insurance premia, contributions to provident fund, certain pension funds, notified pension schemes etc. under section 123
Gross
amou
nt
Deduct-
ible
amount
VWXYZAAABACADAEAF
Deductions in respect of amount paid/deposited to notified pension scheme under section 124(3)Deduction in respect of contribution by Employer to pension scheme under section 124(1)(a)Deduction in respect of health insur- ance premia under section 126Deduction in respect of interest on loan taken for higher educa- tion under section 129Deduction in respect of contribution by the em- ployee to Agnipath Scheme un- der section 125 (1)Deduction in respect of contribution by the Central Government to Agnipath Scheme un- der section 125 (2)Total Deduction in respect of donations to certain funds, charita- ble institutions, etc. under section 133
Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
Gross
amount
Deductibl
amount
e Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
Gross
amount
Qualifyin
amount
gD eductible
amount
AGAHAIAJAKALAMANAOAPAQARASATAU
Deduction in respect of in-
terest on deposits in savings
account under section 153
Amount deductible under any
other provision(s) of Chapter VIII
Total
Amount
deduct-
ible
under
Chapter
VIII
[AF +
AH +
AJ +
AL +
AN +
AP +
AR +
AU +
AX +
BB]
Total
taxa-
ble
in-
come
(AD
- BC)
In-
come
Tax
on
total
in-
come
Rebate
under
section
156, if
appli-
cable
Sur-
charge,
wherev-
er ap-
plicable
Health
and
Educa-
tion
Cess
Gross
amou
nt
Qualify-
ing
amount
Deduct-
ible
amount
Sec-Gr
tion
(refer
Note
5)
oss
a
m
ou
nt
Qualify-
ing
amount
Deduct-
ible
amount
AVAWAXAYA
Z
BABBBCBDBEBFBGBH
Form 39 Ac- knowledgment NumberIncome (Arrears/ Advance paid etc.) on which relief under section 157 is claimedIncome‐ tax relief under section 157, when salary, etc. is paid in arrear or ad- vanceNet tax liability [(BE + BG + BH) – (BF + BK)]Total amount of tax deducted at source by the current employer for the whole year [aggregate of the amount in columns (J) of Annexure I for all the quarters in respect of each employ- ee]Reported amount of Tax deducted at source by other employ- er(s) [income in respect of which includ- ed in compu- ting total tax- able income in column (L)]Amount reported as per Section 392 - Salary and Accumulated Balance Due to an Employee section 392(4), of other tax deducted at source or collected at source other than report- ed in col- umn BM and BN [income in respect of which in- cluded in computing total taxable income in column (AC)]Total amount of tax deducted or col- lected at source for the whole tax year [BM + BN+ BO]Short fall in tax deduction (+) or excess tax de- duction (- ) [BL-BP]
BIBJBKBLBMBNBOBPBQ

DECLARATION I, ….. (name of the person responsible for deducting tax at source), having Permanent Account Number ……., am the person responsible for deducting tax at source in the case of …….. (name of the deductor). I certify that all the particulars furnished above are correct and complete. Place: ….. Signature of the person responsible for deducting tax at source Date: ….. Name: …… Designation: …… NOTES:

  1. Salary includes wages, annuity, pension, gratuity (other than exempted under section 19(1) [Table: Sl. No. 4, 5 and 6], fees, commission, bonus, repayment of amount deposited under the Additional Emoluments (Compulsory Deposit) Act, 1974 (37 of 1974), perquisites, profits in lieu of or in addition to any salary or wages including payments made at or in connection with termination of employment, advance of salary, any payment received in respect of any period of leave not availed (other than exempted under section 19(1) [Table: Sl. No. 13 and 14], the aggregate of all sums that are comprised in the transferred balance as referred to in paragraph 11(2) of Part A of Schedule XI of an employee participating in a recognised provident fund(to the extent to which it is chargeable to tax under sub-paragraphs (4) and (5) thereof, any contribution made by the Central Government to the account of the employee under a pension scheme referred to in section 124 or any other sums chargeable to income-tax under the head ‘Salaries’. Where an employer deducts from the emoluments paid to an employee or pays on his behalf any contributions of that employee to any approved superannuation fund, all such deductions or payments should be included in the statement.

  2. Where an employer deducts from the emoluments paid to an employee or pays on his behalf any contributions of that employee to any approved superannuation fund, all such deductions or payments should be included in the statement.

  3. Permanent account number of landlord(s) shall be mandatorily furnished where the aggregate rent paid during the Tax Year exceeds one lakh rupees.

  4. Permanent account number of lender(s) shall be mandatorily furnished where the housing loan, on which interest is paid, is taken from a person other than a Financial Institution or the Employer.

  5. List of section is as under:

Sl. No.SectionParticulars
1127Deduction in respect of maintenance including medical treatment of a dependent who is a person
with disability
2130Deduction in respect of interest on loan taken for residential house property
3131Deduction in respect of interest on loan taken for certain house property (not covered under
section 130)
4134Deduction in respect of rents paid
5137Deduction in respect of contributions given by any person to political parties
6154Deduction in case of a person with disability

ANNEXURE III: Details of pension and interest income paid or credited to the specified senior citizen during the tax year …………… and net tax payable {under section 393(1) [Table: Sl. No. 8(iii)]

Sl. No.Permanent Account Number of the specified senior citizenName of the specified senior citizenDeductee type (refer Note 1)Whether Opting out of taxation under section 202 [Yes / No]Gross Pension as per provisions contained in section16(b)Deduction under section 19
Tax on
employment
under section
19(1) [Table:
Sl. No. 1]
Standard
deduction
under
section 19(1)
[Table: Sl.
No. 2]
Total
[G + H]
ABCDEFGHI
Income under the head “Salaries” [F - I]Interest Income under the other sources paid by the specified bankGross Total Income [J + K]Deduction in respect of life insurance premia, contributions to provident fund, certain pension funds, notified pension schemes etc. under section 123Deductions in respect of amount paid / deposited to notified pension scheme under section 124(3)Deduction in respect of health insurance premia under section 126Deduction in respect of interest on loan taken for higher education under section 129
Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
Gross
amount
Deductible
amount
JKLMNOPQRST
Total Deduction in respect of donations to certain funds, charitable institutions, etc. under section 133Deduction in respect of interest on deposits in savings account under section 153(2)(b)Amount deductible under any other provision(s) of Chapter VIIIAggregate of deductible amount under Chapter VIII [N + P + R + T + W + Z + AD]
Gross
amount
Qualifying
amount
Deductible
amount
Gross
amount
Qualifying
amount
Deductible
amount
Section
(refer
Note 2)
Gross
amount
Qualifying
amount
Deductible
amount
UVWXYZAAABACADAE
Total taxable income (L - AE)Income Tax on total incomeRebate under section 156, if applicableSurcharge, wherever applicableHealth and Education CessTax Payable [AG + AI + AJ - AH]Income‐tax relief under section 157Net Tax Payable [AK - AL]
AFAGAHAIAJAKALAM

DECLARATION I, ….. (name of the person responsible for deducting tax at source), having Permanent Account Number ……., am the person responsible for deducting tax at source in the case of …….. (name of the deductor). I certify that all the particulars furnished above are correct and complete. Place: ….. Signature of the person responsible for deducting tax at source: Date: ….. Name: …… Designation: …… Notes:

  1. Where the specified senior citizen is below the age of 80 years, mention ―1‖ and where he is of the age of 80 years or above, mention ―2‖.
  2. List of section is as under:
Sl. No.SectionParticulars
1127Deduction in respect of maintenance including medical treatment of a dependent who is a person
with disability
2130Deduction in respect of interest on loan taken for residential house property
3131Deduction in respect of interest on loan taken for certain house property (not covered under section
130)
4134Deduction in respect of rents paid
5137Deduction in respect of contributions given by any person to political parties
6154Deduction in case of a person with disability