CHALLAN NO.

Tax Applicable Assessment

/ ITNS Year
✔ (0021) INCOME-TAX (OTHER THAN (0020) INCOME-TAX ON
ITNS 280 COMPANIES) COMPANIES(CORPORATION TAX) 2017-18

PAN : AKSPR7527D
Full Name : CHUXXX XAMESH
Complete DIN 2017201737059519964T 620 PATIA BHUBANESWAR ORISSA-751024
Address with
City & State :
Tel. No. : 0

Type of Payment
(100) ADVANCE TAX (106) PROFITS OF DOMESTIC COMPANIES
(300) SELF ASSESSMENT TAX (102) SURTAX
(107) TAX ON DISTRIBUTED INCOME TO UNIT ✔ (400) TAX ON REGULAR ASSESSMENT
HOLDERS
(800) TDS ON SALE OF PROPERTY

Details of Payment FOR USE IN RECEIVING BANK

Amount (in Rs. only) Debit to A/c / Cheque credited on
Income Tax: 620.00 25/10/2019 (dd/MM/yyyy)
Surcharge: 0.00 Payment Status : Success
Education Cess: 0.00 Bank Reference No. : 1831291948
Interest: 0.00 SPACE FOR BANK SEAL
Penalty: 0.00 ICICI Bank
Others: 0.00 Uttam Nagar, New Delhi
Total: 620.00 CIN
Total (in words): BSR Code : 6391718
Crores Lakhs Thousands Hundreds Tens Units Tender Date : 251019
Zero Zero Zero Six Two Zero Challan Serial No. : 28289
Debit to A/c: 006101529430
Date: 25/10/2019 Rs : 620.00
Internet Banking Payment through
Drawn on: ICICI Bank

Taxpayers Counterfoil Payment Status : Success

PAN: AKSPR7527D Bank Reference No. : 1831291948
Received From : CHUXXX XAMESH SPACE FOR BANK SEAL
Paid in Cash / Debit to 006101529430 ICICI Bank
A/c / Cheque No : Uttam Nagar, New Delhi
For Rs. : 620.00 CIN
Rupees Six Hundred and Twenty and
Rs (in words) : BSR Code : 6391718
Zero paise only
Tender Date : 251019
Internet Banking Payment through
Drawn On : ICICI Bank Challan Serial No. : 28289
(0021) INCOME-TAX (OTHER THAN
On Account of : COMPANIES)
(400) TAX ON REGULAR
Type of Payment : Rs : 620.00
ASSESSMENT
For the Assessment 2017-18
Year :