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    ChallanForm

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    sandipee12

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    © All Rights Reserved
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    ChallanForm

    Uploaded by

    sandipee12
    4 views1 page

    Original Title

    24040300061257_ChallanForm

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    © © All Rights Reserved

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    Copyright:

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    4 views1 page

    ChallanForm

    Uploaded by

    sandipee12

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    © All Rights Reserved
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    of 1

    INCOME TAX DEPARTMENT

    Challan Form For Making Tax


    Payment Through Pay At Bank Counter Mode

    CRN Challan Generated on Valid till


    24040300061257 03-Apr-2024 18-Apr-2024
    ITNS No. : 281
    Name : P*****M B***A S*****Y F*R S***L D*********T
    e-mail ID : pb*****@gmail.com
    Mobile No. : 74XXXXXX29
    TAN A.Y. F.Y. Major Head Minor Head ZAO Code
    CALP13462B 2025-26 2024-25 Income Tax (Other than TDS/TCS Payable by 722019
    Companies) (0021) Taxpayer (200)
    Nature of Payment : 92A
    Tax Breakup Details (Amount In ₹)
    A Tax ₹ 3,000 For Use In Receiving Bank

    B Surcharge ₹0 Debit to A/c / Cheque credited on

    C Cess ₹0

    D Interest ₹0 DD MMM YYYY

    E Penalty ₹0 Space for bank seal

    F Fee under section 234E ₹0

    Total (A+B+C+D+E+F) ₹ 3,000

    Total (In Words) Rupees Three Thousand


    Only

    Mode of Payment : Pay at Bank Counter

    Payment through : Cheque

    Drawn on Bank : Union Bank Of India

    Branch Name : Cheque No./DD No. :


    Name of the person making Date :
    Signature of person making payment
    payment :
    Taxpayer’s Counterfoil
    CRN A.Y. TAN
    24040300061257 2025-26 CALP13462B
    Name Amount Major Head
    P*****M B***A S*****Y F*R ₹ 3,000 Income Tax (Other DD MMM YYYY
    S***L D*********T than Companies)
    (0021)
    Minor Head Payment through ZAO Code Space for bank seal
    TDS/TCS Payable by Cheque 722019
    Taxpayer (200)
    Drawn on Bank Nature of Payment
    Union Bank Of India 92A
    Branch Name : CIN : Date :
    Bank Reference Number Cheque No./DD No. :
    (BRN) :

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