Taxpayer's Counterfoil

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Name of the Assessee ANIXX XXOKAN

Complete Address ITR KOONAMOOCHI

125400

TRICHUR KERALA 680504

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PAN A H E P A 1 3 7 1 R

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

Minor Head 300 - SELF ASSESSMENT TAX

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Description of Tax Amount in Rupees HDFC BANK LIMITED

Basic Tax 125,400.00 Challan No 280
Surcharge 0.00
BSR Code 0510308
Education Cess 0.00
Date of Receipt 23/07/2019
Penalty 0.00
Challan Serial No 12042
Others 0.00
Interest 0.00 Assessment Year 2019-20

TOTAL 125,400.00 Bank Reference 12042

Drawn On HDFC Bank Netbanking

Rupees (In words) INR ONE LAKH(S) TWENTY FIVE THOUSAND FOUR HUNDRED ONLY

CIN 051030823071912042

Debit Account No. 01571140037531 Payment Realization Date 23/07/2019 13:24:57

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