Single(Copy to be sent the ZAO)

Tax Applicable(Tick One)* CHALLAN NO./ ITNS 280 (0020) INCOME-TAX ON COMPANIES (CORPORATION TAX) (0021) INCOME TAX (OTHER THAN COMPANIES) a 2013-14 Assessment Year

Permanent Account Number

AAJFA2335F Full Name ANAND GLASS WORKS Complete Address With City and State 140/15,RISHI NAGAR,SHAKUR BASTI,DELHI,DELHI,110034 Tel. No. Type of Payment(Tick One) Advance Tax(100) Self Assessment Tax (300) Tax on Regular Assessment(400) DETAILS OF PAYMENTS Income Tax Surcharge Education Cess Interest Penalty Others Total Amount(in Rs.only) a Surtax(102) Tax on Distributed Profits of Domestic Companies(106) Tax on Distributed Income to Unit Holders(107) FOR USE IN RECEIVING BANK Pin 110034

AAJFA2335F

15558 0 0 1812 0 0 17370 LACS THOUSAND S

SEVENTEEN

debit to A/c /Cheque Credit on DD MM YY

SPACE FOR BANK SEAL

Total(in words) CRORES HUNDRED S

THREE

TENS
SEVEN Date d

UNITS

Paid in Cash/Debit to Ac/Cheque No

Cash

Drawn on
(Name of Bank and Branch)

Date

16/09/201 3

Signature of person making Payment

Rs.

Taxpayers Counterfoil(To be Filed up by the tax payer ) PAN Received Form Cash/Debit to Ac/Cheque No AAJFA2335F ANAND GLASS WORKS Cash For Rs. 17370 SEVENTEEN THOUSAND THREE HUNDRED SEVENTY Only (Name of the Bank and Branch)

SPACE FOR BANK SEAL

Rs in Words
Drawn on

On Account of Other than Companies Income Tax on Self Assessment Tax Type of Payments
for the Assessment Year 2013-14
Code 521 Rs.