DEBIT ADVICE

Merchant Name Direct Tax(TIN 2.0)

Debit Account Name RAMXXXXSHNA POTHULA
Debit Account No XXXXXXXX7514
Bank Reference No 2003975155
PAN/TAN AGWPC4143J
Assessment Year 2023-24
Major Head 0021
Minor Head 300
Payment Mode EPY
Basic Tax Amount 3,827
Surcharge Amount 0
Education Cess Amount 153
Interest Amount 0
Penalty Amount 0
Others Amount/Fees u/s 234 E 0
Total Amount (in Rs.) 3,980
Total Amount (in words) Rupees Three Thousand Nine Hundred Eighty
and Paise Zero Only.
Challan Validity Date 11/08/2023
CIN No 23072700528834ICIC
Payment Date and Time 27/07/2023 15:56:45
Transaction Status SUCCESS
Instrument Type IB

This is a computer generated receipt hence does not require any signature.

Please note this is a debit advice. Kindly login to e-Pay Tax services at e-Filing Portal “www.incometax.gov.in >
e-Pay Tax > Payment History > Download” for downloading challan. Now, ICICI Bank will only provide debit
advice post tax payment and not challan.