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e-Payment Request Form

Full Name:____________________________________ Address :____________________________________ ____________________________________


Challan Major Head
(0020) INCOME-TAX ON COMPANIES (CORPORATION TAX)
ITNS 280

PAN No:/TAN: Assessment Year: Financial Year :


Type of Payment
(100) ADVANCE TAX (102) SURTAX (106) TAX ON DISTRIBUTED PROFITS (107) TAX ON DISTRIBUTED INCOME (300) SELF ASSESSMENT TAX (400) TAX ON REGULAR ASSESSMENT (200) TDS/TCS Payable by Taxpayer (400) TDS/TCS Regular Assessment (Raised by I.T. Deptt.)

(0021) INCOME-TAX (OTHER THAN COMPANIES) (0020) COMPANY DEDUCTEES (0021) NON-COMPANY DEDUCTEES (0034) SECURITIES TRANSACTION TAX (0023) HOTEL RECIEPTS TAX (0024) INTEREST TAX (0028) EXPNDITURE/OTHER TAX (0031) ESTATE DUTY (0032) WEALTH TAX (0033) GIFT TAX (0036) BCTT (0026) FRINGE BENEFITS TAX

ITNS 281

ITNS 282

(100) ADVANCE TAX (300) SELF ASSESSMENT TAX (400) TAX ON REGULAR ASSESSMENT

ITNS 283

(100) ADVANCE TAX (300) SELF ASSESSMENT TAX (400) TAX ON REGULAR ASSESSMENT

PAYMENT DETAILS 1.Tax Amount: 2.Surcharge : 3.Education Cess: 4.Interest 5. Penalty 6. Others TOTAL : : : : ______________ ______________ ______________ ______________ ______________ _____________ _____________

PAYMENT INSTRUCTIONS Please find enclosed cheque number......................on our account number ..................................... amounting to Rs.................. (Rupees________________________ _______________________ ) towards CBDT e-Payment, through Axis Bank.

Authorised Signatory (Remitter)

For Branch Use Only


Challan Identification Number (CIN) :_________________________________________________ Name of the Designated Officer :__________________________Signature:________________ Note: TAN registration may take 48 hrs, after which tax payment will be made through Axis Bank, Karur

[Only in respect of remittances made through Challan ITNS 281 - this form is to be used] Tick the appropriate sanctioned code under which the TDS is remitted 1. Please note that quoting false TAN may attract penalty of Rs. 10,000/- as per section 272BB of I.T. Act, 1961. 2. Use a separate Challan for each Nature (Type) of Payment. The relevant codes are: Section
192 192 193 194 194A 194B 194BB 194C 194D 194E 194EE 194F 194G 194H 194I 194J 194K 194LA 195 196A 196B 196C 196D 206C 206C 206C 206C 206C 206C 206C 206C 206C

Nature of Payment
Payment to Govt Employees other than Union Govt Employees Payment of Employees other than Govt Employees Interest on Securities Dividends Interest other than 'Interest on securities' Winning from lottery or crossword puzzle Winning from horse race Payments of contractors and sub-contractors Insurance commission Payments to non-resident sportsmen / sports associations Payments in respect of deposits under National Savings Schemes Payments on account of repurchase of units by Mutual Fund or UTI Commission, price, etc., on the sale of lottery tickets Commission or brokerage Rent Fees for professional and technical services Income payable to a resident assessee in respect of units of a specified mutual fund or of the units of the UTI Payment of compensation on acquisition if certain immovable property Other sums payable to a non-residents Income in respect of units of non-residents Payments in respect of units to an offshore fund Income from foreign currency bonds or shares on indian company payable to non-residents Income of foreign institutional investors from securities Collection at source from Alcoholic liquor for human consumption Collection at source from Timber obtained under forest lease Collection at source from Timber obtained by mode other than a forest lease Collection at source from Any other forest produce (not being tendu leaves) Collection at source from Scrap Collection at source from contractors or licensee or lease relating to Parking lots Collection at source from contractors or licensee or lease relating to Toll plaza Collection at source from contractors or licensee or lease relating to Mine or Quarry Collection at source from Tendu Leaves

Code
92A 92B 193 194 94A 94B 4BB 94C 94D 94E 4EE 94F 94G 94H 94I 94J 94K 94L 195 96A 96B 96C 96D 6CA 6CB 6CC 6CD 6CE 6CF 6CG 6CH 6CI