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Single Copy (to be sent to the ZAO)

Tax Applicable (Tick one)


CHALLAN (0020) INCOME-TAX ON COMPANIES (CORPORATION TAX) [ ] Assessment Year
NO./ ITNS 280 (0021) INCOME-TAX (OTHER THAN COMPANIES) [P ] 2019-20

Permanent Account Number


AHBPD5179R
Full Name
MARUTI GANPAT DATILKAR
Complete Address with City & State
SHREE KRUPA NIWAS, OPP HARICHANDRA APARTMENT, DIVA SHIL ROAD

KHARDI GAON, THANE, MAHARASHTRA


Phone No. 9920597855 Pin 400612
Type of Payment (Tick One)
Advance Tax (100) [P ] Surtax (102) [ ]
Self Assessment Tax (300) [ ] Tax on Distributed Profits of Domestic Companies (106) [ ]
Tax on Regular Assessment (400) [ ] Tax on Distributed Income to Unit Holders (107) [ ]
DETAILS OF PAYMENTS FOR USE IN RECEIVING BANK
Amount (In Rs. Only) Debit to A/c / Cheque credited on

Income Tax 150000


Surcharge 0
DD MM YY
Education Cess 0
Interest 0 SPACE FOR BANK SEAL
Penalty 0
Others 0
Total 150000
Total (in words):
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
Zero One Fifty Zero Zero Zero

Paid in Cash/Debit to A/c/Cheque No. 000150 Dated 13/03/2019


Drawn on KOTAK MAHINDRA BANK
(Name of the Bank and Branch)

Date: 12/03/2019 Rs.

Signature of the Person making payment

Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
PAN AHBPD5179R
Received from MARUTI GANPAT DATILKAR
Cash/Debit to A/c/Cheque No. 000150 For Rs. 150000
Rs. (in Words) One Lac Fifty Thousand Only

Drawn on KOTAK MAHINDRA BANK


(Name of the Bank and Branch)
On account of Companies/Other than Companies Tax
Type of Payment Advance Tax
For the Assessment Year 2019-20 Rs.