INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

24022100119875 21-Feb-2024 07-Mar-2024
ITNS No. : 280
Name : A******I S**D
e-mail ID : sy*************@gmail.com
Mobile No. : 98XXXXXX17
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
AGQPS2876Q 2024-25 2023-24 Income Tax (Other than Advance Tax (100) 722005
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹ 3,500 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) ₹ 3,500

Total (In Words) Rupees Three Thousand

Five Hundred 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
24022100119875 2024-25 AGQPS2876Q
Name Amount Major Head
A******I S**D ₹ 3,500 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Advance Tax (100) Cheque 722005
Drawn on Bank
State Bank Of India
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :