INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

23072800248969 28-Jul-2023 12-Aug-2023
ITNS No. : 280
Name : R**U K****I
e-mail ID : pr************@yahoo.com
Mobile No. : 78XXXXXX26
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
AGLPK4288M 2023-24 2022-23 Income Tax (Other than Self-Assessment Tax (300) 722005
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹ 81,950 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 ₹0

Total (A+B+C+D+E+F) ₹ 81,950

Total (In Words) Rupees Eighty One

Thousand Nine Hundred
And Fifty Only

Mode of Payment : Pay at Bank Counter

Payment through : Cheque

Drawn on Bank : State Bank Of India

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
23072800248969 2023-24 AGLPK4288M
Name Amount Major Head
R**U K****I ₹ 81,950 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Self-Assessment Tax (300) Cheque 722005
Drawn on Bank
State Bank Of India
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :