INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

23031400315266 14-Mar-2023 29-Mar-2023
ITNS No. : 280
Name : R******** ******I I***E
e-mail ID :
Mobile No. : 88XXXXXX06
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
AAQPI4717G 2023-24 2022-23 Income Tax (Other than Other Receipts (500) 055880
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹0 For Use In Receiving Bank

B Surcharge ₹0 Debit to A/c / Cheque credited on

C Cess ₹0

D Interest ₹0 DD MMM YYYY

E Penalty ₹0 Space for bank seal

F Others ₹ 1,000

Total (A+B+C+D+E+F) ₹ 1,000

Total (In Words) Rupees One Thousand

Only

Mode of Payment : Pay at Bank Counter

Payment through : Cash

Drawn on Bank : Bank Of Maharashtra

Branch Name : Cheque No./DD No. :

Name of the person making Date :
Signature of person making payment
payment :
Taxpayer’s Counterfoil
CRN A.Y. PAN
23031400315266 2023-24 AAQPI4717G
Name Amount Major Head
R******** ******I I***E ₹ 1,000 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Other Receipts (500) Cash 055880
Drawn on Bank
Bank Of Maharashtra
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :