#5 INCOME TAX DEPARTMENT EiSE, Challan Form For Making Tax IPE Payment Through Pay At Bank Counter Mode PERE TTNS No. : 280 Name Retenenn aenanay pena email ID Mobile No: 88XXXXXxx06 PAN. AY. FY. Major Head Minor Head ZA0 Code AAQPI4717G 2023-24 2022-23 Income Tax (Otherthan Other Receipts (500) 055880 Companies) (0021) Tax Breakup Details (Amount In 2) A Tax zo For Use in Receiving Bank 8 Surcharge zo Debit to A/c / Cheque credited on C Ces zo D interest z0 oD MMM YYYY E Penalty zo 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 gerson makin Date payment 3 ‘Signature of person making payment Taxpayer's Counterfoil oRN AY. PAN 2031400315266 2023-24 Aanapla7176 Name Amount Major Head Retassee sseten [ne 21,000 Income Tax (Other DD IMM yyyY than Companies) (0021) Minor Head Payment through AO 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,/00 No. (BRN)