Taxpayer's Counterfoil

...................................................................................

Name of the Assessee SHREE BALKRISHNA DEVELOPERS

Complete Address 1 ST FLOOR OM COMPLEX

MOTA MANDIR HOLI CHAKLA

SURAT GUJARAT 395003

...................................................................................

PAN A C H F S 4 8 4 6 D

Major Head 0021 - INCOME-TAX (OTHER THAN COMPANIES)

Minor Head 400 - TAX ON REGULAR ASSESSMENT

...................................................................................

Description of Tax Amount in Rupees HDFC BANK LIMITED

Basic Tax 3,420.00 Challan No 280
Surcharge 0.00
BSR Code 0510308
Education Cess 0.00
Date of Receipt 22/12/2017
Penalty 0.00
Challan Serial No 05084
Others 0.00
Interest 0.00 Assessment Year 2015-16

TOTAL 3,420.00 Bank Reference 05084

Drawn On HDFC Bank Netbanking

Rupees (In words) THREE THOUSAND FOUR HUNDRED TWENTY ONLY

CIN 051030822121705084

Debit Account No. 17038730000386 Payment Realization Date 22/12/2017 17:12:02

Please Save a copy of this Acknowledgement Receipt for your future reference.